Transdiagnostic trajectories of irritability and oppositional, depression and anxiety problems from preschool to early adolescence

被引:15
|
作者
Ezpeleta, Lourdes [1 ,2 ]
Penelo, Eva [1 ,3 ]
Navarro, J. Blas [1 ,3 ]
de la Osa, Nuria [1 ,2 ]
Trepat, Esther [1 ,2 ]
机构
[1] Univ Autonoma Barcelona, Unitat Epidemiol & Diagnost Psicopatol Desenvolup, Barcelona 08193, Spain
[2] Univ Autonoma Barcelona, Dept Psicol Clin & Salut, Edif B, Barcelona 08193, Spain
[3] Univ Autonoma Barcelona, Dept Psicobiol & Metodol Ciencies Salut, Barcelona 08193, Spain
关键词
Anxiety; Depression; Developmental trajectories; Irritability; Oppositional defiant disorder; Transdiagnostic; DEFIANT DISORDER; YOUNG-CHILDREN; PSYCHOMETRIC PROPERTIES; CONDUCT DISORDER; DIMENSIONS; PSYCHOPATHOLOGY; ASSOCIATIONS; COMORBIDITY; STRENGTHS; SYMPTOMS;
D O I
10.1016/j.brat.2020.103727
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Irritability is a transdiagnostic symptom in oppositional defiant disorder, depression, and anxiety, all highly comorbid disorders but with unknown simultaneous evolution. The aim was to obtain the developmental trajectories of simultaneous irritability and oppositional, depression, and anxiety problems from preschool age to early adolescence. A sample of 493 community children was followed up annually from ages 3-11 years and assessed using categorical and dimensional measures answered by parents and teachers. Latent Class Growth Analysis for four parallel processes was used to identify distinct groups of individual trajectories for irritability and oppositional, depression, and anxiety problems. Outcomes at ages 11 and 12 were compared among trajectories using regression models and multiple comparisons. A 3-class model showed the highest entropy (0.961) and adequate posterior probabilities of class membership (>= 0.969). Class 1 (n = 331, 67.1%) was made up of children with stable low scores in all the variables; class 2 (n = 55, 11.2%) of children with high depression, anxiety, and irritability and above the mean stable profiles for oppositional problems; and class 3 (n = 107, 21.7%) of children with medium-high increasing irritability and oppositional problems and on the mean depression and anxiety. The classes with symptomatology and irritability (2 and 3) clearly differed from class 1 (low) at baseline and in outcomes. The course of irritability and oppositional, depression, and anxiety problems from ages 3-11 years differed qualitatively and quantitatively across subgroups of children. The 3 classes identified may help to guide clinicians' decision-making regarding treating irritability and its comorbid disorders.
引用
收藏
页数:9
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