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Co-Occurring Mental Health Symptoms in Urban Adolescents: Comorbidity Profiles and Correlates
Journal of Clinical Child & Adolescent Psychology ( IF 4.2 ) Pub Date : 2021-04-05 , DOI: 10.1080/15374416.2021.1901228
Lindsey Webb 1 , Rashelle Musci 1 , Tamar Mendelson 1
Affiliation  

ABSTRACT

Objective

To identify subgroups of urban youth based on their self- and teacher-reported mental health symptoms, and to explore characteristics of these subgroups.

Methods

Cross-sectional data from 426 eighth-grade students (Mage = 13.22 years; 70.1% Black/African American; 58.7% female) across 20 Baltimore City public schools were analyzed using latent profile analysis and latent regressions. Variables for latent profile analysis included self-reported symptoms (i.e., anxiety, depression, trauma, interpersonal issues, social problems, and behavioral dysfunction) and teacher-reported symptoms (i.e., externalizing, internalizing, and problems in social and emotional competence). Regressions used profile membership to predict trauma exposure, coping mechanisms, and substance use.

Results

A 3-profile solution was found from the latent profile analysis. The profile with high student- and teacher-reported symptoms had more trauma exposures, greater use of maladaptive coping mechanisms, and higher substance use.

Conclusions

The current study may help in the identification of urban youth who are at risk of developing multiple co-occurring psychological disorders to target for prevention efforts.



中文翻译:


城市青少年同时发生的心理健康症状:共病概况和相关性


 抽象的

 客观的


根据城市青少年自我报告和教师报告的心理健康症状来识别城市青少年的亚群,并探讨这些亚群的特征。

 方法


使用潜在概况分析和潜在回归分析了巴尔的摩市 20 所公立学校的 426 名八年级学生(男性年龄= 13.22 岁;70.1% 黑人/非裔美国人;58.7% 女性)的横截面数据。潜在概况分析的变量包括自我报告的症状(即焦虑、抑郁、创伤、人际关系问题、社会问题和行为功能障碍)和教师报告的症状(即外化、内化以及社交和情感能力问题)。回归使用个人资料成员来预测创伤暴露、应对机制和物质使用。

 结果


从潜在轮廓分析中找到了 3 轮廓解决方案。学生和教师报告的症状较高的人有更多的创伤经历、更多地使用适应不良的应对机制以及更高的物质使用率。

 结论


目前的研究可能有助于识别有可能同时发生多种心理障碍的城市青年,以作为预防工作的目标。

更新日期:2021-04-05
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