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首页> 外文期刊>Journal of child psychology and psychiatry >A test of the vulnerability model: Temperament and temperament change as predictors of future mental disorders - The TRAILS study
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A test of the vulnerability model: Temperament and temperament change as predictors of future mental disorders - The TRAILS study

机译：脆弱性模型的测试：气质和气质变化可预测未来精神障碍-TRAILS研究

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Background This study aimed to test the vulnerability model of the relationship between temperament and mental disorders using a large sample of adolescents from the TRacking Adolescents Individual Lives' Survey (TRAILS). The vulnerability model argues that particular temperaments can place individuals at risk for the development of mental health problems. Importantly, the model may imply that not only baseline temperament predicts mental health problems prospectively, but additionally, that changes in temperament predict corresponding changes in risk for mental health problems. Methods Data were used from 1195 TRAILS participants. Adolescent temperament was assessed both at age 11 and at age 16. Onset of mental disorders between age 16 and 19 was assessed at age 19, by means of the World Health Organization Composite International Diagnostic Interview (WHO CIDI). Results Results showed that temperament at age 11 predicted future mental disorders, thereby providing support for the vulnerability model. Moreover, temperament change predicted future mental disorders above and beyond the effect of basal temperament. For example, an increase in frustration increased the risk of mental disorders proportionally. Conclusion This study confirms, and extends, the vulnerability model. Consequences of both temperament and temperament change were general (e.g., changes in frustration predicted both internalizing and externalizing disorders) as well as dimension specific (e.g., changes in fear predicted internalizing but not externalizing disorders). These findings confirm previous studies, which showed that mental disorders have both unique and shared underlying temperamental risk factors.
机译：背景技术本研究旨在使用追踪青少年个人生活调查（TRAILS）中的大量青少年来测试气质与精神障碍之间关系的脆弱性模型。脆弱性模型认为，特定的性情会使个人处于发展心理健康问题的危险中。重要的是，该模型可能暗示不仅基线气质可以预测精神健康问题，而且还暗示气质的变化可以预测精神健康问题风险的相应变化。方法使用1195名TRAILS参与者的数据。通过世界卫生组织综合国际诊断访谈（WHO CIDI）评估了在11岁和16岁时的青少年气质。在19岁时对16至19岁之间的精神障碍进行了评估。结果结果表明，11岁时的气质可预测未来的精神障碍，从而为脆弱性模型提供支持。此外，气质变化预测了未来的精神障碍，其影响超出了基础气质。例如，沮丧感的增加按比例增加了精神障碍的风险。结论本研究确认并扩展了漏洞模型。气质和气质变化的后果是普遍的（例如，沮丧的变化预示着内在和外在的障碍）以及维度的具体情况（例如，恐惧的变化预示了内在的但不是外部的）。这些发现证实了以前的研究，这些研究表明精神障碍既有独特的也有共同的潜在的气质危险因素。

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