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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Sexual Risk Behavior Among Youth With Bipolar Disorder: Identifying Demographic and Clinical Risk Factors
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Sexual Risk Behavior Among Youth With Bipolar Disorder: Identifying Demographic and Clinical Risk Factors

机译:具有双相障碍的青年中的性风险行为:识别人口统计和临床风险因素

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Objective This study aims to document rates of sexual activity among youth with bipolar spectrum disorder (BD) and to examine demographic and clinical factors associated with first sexual activity and sexual risk behavior during follow-up. Method The sample was drawn from the Course and Outcome of Bipolar Youth (COBY) study of 413 youth 7 to 17 years at baseline who met criteria for bipolar spectrum disorder according to the Schedule for Affective Disorders and Schizophrenia for School-Aged Children. Psychiatric symptoms during follow-up were assessed using the Adolescent Longitudinal Interview Follow-Up Evaluation (ALIFE). Sexual behavior and level of sexual risk (e.g., unprotected sex, multiple partners, and/or partners with known sexually transmitted infections) were assessed by trained evaluators using the ALIFE Psychosocial Functioning Scale. Analyses were conducted in relation to first sexual behavior during follow-up and then to subsequent sexual behaviors (mean 9.7 years, standard deviation 3.2). Results Sexually active COBY youth (n?= 292 of 413; 71%) were more likely females, using substances, and not living with both parents. Consistent with findings among healthy youth, earlier first sexual activity in the sample was significantly associated with low socioeconomic status, female sex, comorbid disruptive behavior disorder, and substance use. As with healthy youth, sexual risk behavior during follow-up was significantly associated with non-Caucasian race, low socioeconomic status, substance use, and history of sexual abuse. Of those COBY youth who were sexually active, 11% reported sexual assault or abuse, 36% reported becoming pregnant (or the significant other becoming pregnant), and 15% reported having at least 1 abortion (or the significant other having an abortion) during follow-up. Hypomanic symptoms during follow-up were temporally associated with the greatest risk for sexual risk behavior. Conclusion Demographic and clinical factors could help identify youth with bipolar spectrum disorder at significantly greatest risk for sexual activity and sexual risk behavior. Attending to sexual risk behaviors in this population is warranted.
机译:目的本研究旨在通过双极谱障碍(BD)对青年性行为的性活动率和审查与先行后第一次性活动和性风险行为相关的人口统计和临床因素。方法从Bipolar青年(COBY)研究的课程和结果,在413青少年7至17年的基线上,根据学龄儿童情感障碍和精神分裂症的时间表达到双极谱系障碍的标准。使用青少年纵向采访后续评估(Alife)评估随访期间的精神症状。利用AlifeCechicocial作用规模,通过培训的评估人员评估了性行为和性风险(例如,未受保护的性别,多伙伴和/或伴随着性传播感染的合作伙伴)。在随访期间的第一种性行为和随后的性行为(平均9.7年,标准差3.2)进行分析。结果性活跃的鹅卵石青年(N?= 292的413例,71%)更可能是女性的,使用物质,而不是与父母一起生活。与健康青年之间的调查结果一致,早期的样本中的第一个性活动与低社会经济地位,女性性别,合并破坏性行为障碍和物质使用明显相关。与健康青年一样,随访期间的性风险行为与非白种人种族,低社会经济地位,物质使用和性虐待史有关。在具有性活跃的鹅卵石青年中,报告的性侵犯或虐待的11%,据报道36%据报道,怀孕(或其他孕妇),据报道,15%的报告至少有1个堕胎(或堕胎的重要其他人)跟进。随访期间的低位症状与性风险行为的最大风险暂时。结论人口统计和临床因素有助于识别与双相谱系障碍的青年,在性活动和性风险行为的明显最大程度上。有必要参加这一人口中的性风险行为。

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