tailieunhanh - Báo cáo y học: " Profiles of family-focused adverse experiences through childhood and early adolescence: The ROOTS project a community investigation of adolescent mental health"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Profiles of family-focused adverse experiences through childhood and early adolescence: The ROOTS project a community investigation of adolescent mental health | Dunn et al. BMC Psychiatry 2011 11 109 http 1471-244X 11 109 BMC Psychiatry RESEARCH ARTICLE Open Access Profiles of family-focused adverse experiences through childhood and early adolescence The ROOTS project a community investigation of adolescent mental health 1 1 1 1 12 Valerie J Dunn Rosemary A Abbott Tim J Croudace Paul Wilkinson Peter B Jones Joe Herbert and Ian M Goodyer1 Abstract Background Adverse family experiences in early life are associated with subsequent psychopathology. This study adds to the growing body of work exploring the nature and associations between adverse experiences over the childhood years. Methods Primary carers of 1143 randomly recruited 14-year olds in Cambridgeshire and Suffolk UK were interviewed using the Cambridge Early Experiences Interview CAMEEI to assess family-focused adversities. Adversities were recorded retrospectively in three time periods early and later childhood and early adolescence . Latent Class Analysis LCA grouped individuals into adversity classes for each time period and longitudinally. Adolescents were interviewed to generate lifetime DSM-IV diagnoses using the K-SADS-PL. The associations between adversity class and diagnoses were explored. Results LCA generated a 4-class model for each time period and longitudinally. In early childhood 69 were allocated to a low adversity class a moderate adversity class 19 showed elevated rates of family loss mild or moderate family discord financial difficulties maternal psychiatric illness and higher risk for paternal atypical parenting a severe class 6 experienced higher rates on all indicators and almost exclusively accounted for incidents of child abuse a fourth class characterised by atypical parenting from both parents accounted for the remaining 7 . Class membership was fairly stable 55 over time with escape from any adversity by 14 years being uncommon. Compared to those in the low class the odds ratio for reported psychopathology in .

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