Всемирная психиатрия. №1 2014

Новая группа подростков с «невидимым» риском психопатологии и суицидального поведения: находки исследования SEYLE

Vladimir Carli1, Christina W. Hoven2,3, Camilla Wasserman2,4, Flaminia Chiesa1, Guia Guffanti2, Marco Sarchiapone4, Alan Apter5, Judit Balazs6, Romuald Brunner7, Paul Corcoran8, Doina Cosman9, Christian Haring10, Miriam Iosue4, Michael Kaess7, Jean Pierre Kahn11, Helen Keeley12, Vita Postuvan13, Pilar Saiz14, Airi Varnik15, Danuta Wasserman1

1National Centre for Suicide Research and Prevention of Mental Ill-Health (NASP), Karolinska Institutet, Stockholm, Sweden (Швеция); 2Department of Child and Adolescent Psychiatry, Columbia University – New York State Psychiatric Institute, New York, NY, USA (США); 3Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA (США); 4Department of Health Sciences, University of Molise, Campobasso, Italy (Италия); 5Schneider’s Children’s Medical Center of Israel, University of Tel Aviv, Israel (Израиль); 6Institute of Psychology, Eotvos Lorand University, Budapest, Hungary (Венгрия); 7Department of Child and Adolescent Psychiatry, Center for Psychosocial Medicine, University of Heidelberg, Germany (Германия); 8National Suicide Research Foundation (NSRF), Cork, Ireland (Ирландия); 9Clinical Psychology Department, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Romania (Румыния); 10Research Division for Mental Health, University for Medical Information Technology (UMIT), Hall in Tirol, Austria (Австрия); 11Deparment of Psychiatry and Clinical Psychology, CHU de Nancy, Hopitaux de Brabois, Vandoeuvre les Nancy, France (Франция); 12Health Service Executive South, Cork, Ireland (Ирландия); 13Slovene Center for Suicide Research, Andrej Marusic Institute, University of Primorska, Koper, Slovenia (Словения); 14Department of Psychiatry, University of Oviedo, CIBERSAM School of Medicine, Oviedo, Spain (Испания); 15Estonian-Swedish Mental Health and Suicidology Institute, University of Tallinn, Estonia (Эстония)

Стр. 77-85

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Опубликовано: 11 февраля 2014

Аннотация / Abstract

Перевод: Алфимов П.В. В настоящем исследовании изучена распространенность рискованного поведения (чрезмерное употребление алкоголя, употребление наркотиков, злоупотребление табаком, депривация сна, избыточный вес, дефицит массы тела, малоподвижный образ жизни, интенсивное использование Интернета/просмотр ТВ /увлечение видеоиграми по причинам, не связанным с учебой или работой, прогулы), а также связь этих феноменов с психопатологией и аутодеструктивным поведением в выборке из 12 395 подростков, случайным образом набранных в школах в 11 европейских странах. Анализ латентных классов выявил три группы подростков: группу низкого риска (57,8 %), включающую учащихся с низкой или очень низкой частотой рискованного поведения; группу высокого риска (13,2 %), включающую учащихся, имеющих высокий риск всех вариантов рискованного поведения; группу «невидимого» риска (29 %), включающую учащихся, которые имеют высокий риск интенсивного использования Интернета/просмотра ТВ/увлечения видеоиграми по причинам, не связанным с учебой или работой, сидячего образа жизни и депривации сна. Учащиеся в «невидимой» группе риска в сравнению с группой высокого риска имели сопоставимые показатели распространенности суицидальных мыслей (42,2 % и 44 %, соответственно), тревоги (8 % и 9,2 %, соответственно), подпороговой депрессии (33,2 % и 34%, соответственно) и депрессии (13,4 % и 14,7 %, соответственно). Распространенность суицидальных попыток составила 5,9 % в «невидимой» группе, 10,1 % в группе высокого риска и 1,7 % в группе низкого риска. Распространенность всех вариантов рискованного поведения росла с возрастом, при этом большинство вариантов значительно чаще выявлялись среди мальчиков. Среди девочек значительно чаще выявлялись интернализированные (эмоциональные) психические симптомы. «Невидимая» группа риска может представлять собой важную мишень для профилактических вмешательств, которые могут снизить тяжесть психопатологии и распространенность неблагоприятных исходов среди подрос...

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Вход / Регистрация

1. Blum RW, Bastos FI, Kabiru CW et al. Adolescent health in the 21st century. Lancet 2012;379:1567-8.
2. Patton GC, Coffey C, Cappa C et al. Health of the world’s adolescents: a synthesis of internationally comparable data. Lancet 2012;379:1665-75.
3. Merikangas KR, He JP, Burstein M et al. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication – Adolescent Supplement (NCSA). J Am Acad Child Adolesc Psychiatry 2010;49:980-9.
4. Shaffer D, Fisher P, Dulcan MK et al. The NIMH Diagnostic Interview Schedule for Children Version 2.3 (DISC-2.3): description, acceptability, prevalence rates, and performance in the MECA Study. Methods for the Epidemiology of Child and Adolescent Mental Disorders Study. J Am Acad Child Adolesc Psychiatry 1996;35:865-77.
5. Bird HR, Davies M, Duarte CS et al. A study of disruptive behavior disorders in Puerto Rican youth: II. Baseline prevalence, comorbidity, and correlates in two sites. J Am Acad Child Adolesc Psychiatry 2006;45:1042-53.
6. Costello EJ, Angold A, Burns BJ et al. The Great Smoky Mountains Study of Youth. Goals, design, methods, and the prevalence of DSM-III-R disorders. Arch Gen Psychiatry 1996;53:1129-36.
7. Jiang N, Kolbe LJ, Seo DC et al. Health of adolescents and young adults: trends in achieving the 21 Critical National Health Objectives by 2010. J Adolesc Health 2011; 49:
124-32.
8. Park MJ, Brindis CD, Chang F et al. A midcourse review of the healthy people 2010: 21 critical health objectives for adolescents and young adults. J Adolesc Health 2008;42:329-34.
9. Kessler RC, McLaughlin KA, Green JG et al. Childhood adversities and adult psychopathology in theWHOWorld Mental Health Surveys. Br J Psychiatry 2010;197:378-85.
10. Merikangas KR, Zhang H, Avenevoli S et al. Longitudinal trajectories of depression and anxiety in a prospective community study: the Zurich Cohort Study. Arch Gen Psychiatry 2003;60:993-1000.
11. Bird HR, Canino GJ, Davies M et al. A study of disruptive behavior disorders in Puerto Rican youth: I. Background, design, and survey methods. J Am Acad Child Adolesc Psychiatry 2006;45:1032-41.
12. Johnson JG, Cohen P, Gould MS et al. Childhood adversities, interpersonal difficulties, and risk for suicide attempts during late adolescence and early adulthood. ArchGen Psychiatry 2002;59:741-9.
13. Lahey BB, Flagg EW, Bird HR et al. The NIMH Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study: background and methodology. J Am Acad Child Adolesc Psychiatry 1996;35:855-64.
14. Merikangas K, Avenevoli S, Costello J et al. National comorbidity survey replication adolescent supplement (NCS-A): I. Background and measures. J Am Acad Child Adolesc Psychiatry 2009;48:367-9.
15. Brener ND, Kann L, Shanklin S et al. Methodology of the Youth Risk Behavior Surveillance System – 2013. MMWR Recomm Rep 2013;62:1-23.
16. Eaton DK, Kann L, Kinchen S et al. Youth Risk Behavior Surveillance – United States, 2011.MMWRSurveill Summ2012;61:1-162.
17. Hu MC, Griesler P, Schaffran C et al. Risk and protective factors for nicotine dependence in adolescence. J Child Psychol Psychiatry 2011;52:1063-72.
18. Wu P, Bird HR, Liu X et al. Childhood depressive symptoms and early onset of alcohol use. Pediatrics 2006;118:1907-15.
19. Kandel DB, Johnson JG, Bird HR et al. Psychiatric comorbidity among adolescents with substance use disorders: findings from the MECA Study. J Am Acad Child Adolesc Psychiatry 1999;38:693-99.
20. McCrea RL, Berger YG, King MB. Body mass index and common mental disorders: exploring the shape of the association and its moderation by age, gender and education. Int J Obes 2012;36:414-21.
21. Anderson SE, Cohen P, Naumova EN et al. Adolescent obesity and risk for subsequent major depressive disorder and anxiety disorder: prospective evidence. Psychosom Med 2007;69:740-7.
22. Biddle SJ, Asare M. Physical activity and mental health in children and adolescents: a review of reviews. Br J Sports Med 2011;45:886-95.
23. Johnson EO, Breslau N. Sleep problems and substance use in adolescence. Drug Alcohol Depend 2001;64:1-7.
24. Berg I. Absence from school and mental health. Br J Psychiatry 1992;161:154-66.
25. Hale DR, Viner RM. Policy responses to multiple risk behaviours in adolescents. J Public Health 2012;34(Suppl. 1):i11-9.
26. Hibell B, Ahlstrom S, Balakireva O et al. The 2007 ESPAD report: substance use among students in 35 European countries. Stockholm: Swedish Council for Information on Alcohol and Other Drugs, 2009.
27. European Monitoring Centre for Drugs and Drug Addiction. Annual report 2008: the state of the drugs problem in Europe. www.emcdda.europa.eu.
28. Flisher AJ, Kramer RA, Hoven CW et al. Risk behavior in a community sample of children and adolescents. J Am Acad Child Adolesc Psychiatry 2000;39:881-7.
29. Harakeh Z, de Looze ME, Schrijvers CT et al. Individual and environmental predictors of health risk behaviours among Dutch adolescents: the HBSC study. Public Health 2012;126:566-73.
30. Johnson KE, Taliaferro LA. Health behaviors and mental health of students attending alternative high schools: a review of the research literature. J Spec Pediatr Nurs 2012;17:79-97.
31. Kim Y. Adolescents’ health behaviours and its associations with psychological variables. Cent Eur J Public Health 2011;19:205-9.
32. Zhou Z, Xiong H, Jia R et al. The risk behaviors and mental health of detained adolescents: a controlled, prospective longitudinal study. PLoS One 2012;7:e37199.
33. Wasserman D, Carli V, Wasserman C et al. Saving and empowering young lives in Europe (SEYLE): a randomized controlled trial. BMC Public Health 2010;10:192.
34. Carli V, Wasserman C, Wasserman D et al. The Saving and Empowering Young Lives in Europe (SEYLE) Randomized Controlled Trial (RCT): methodological issues and participant characteristics. BMC Public Health 2013;13:479.
35. World Health Organization. Global School-Based Student Health Survey. www.who.int.
36. Brener ND, Kann L, McManus T et al. Reliability of the 1999 Youth Risk Behavior Survey questionnaire. J Adolesc Health 2002;31:336-42.
37. Beck AT, Steer RA, Ball R et al. Comparison of Beck Depression Inventories -IA and -II in psychiatric outpatients. J Pers Assess 1996;67:588-97.
38. Zung WW. A rating instrument for anxiety disorders. Psychosomatics 1971;12:371-9.
39. Goodman R, Meltzer H, Bailey V. The Strengths and Difficulties Questionnaire: a pilot study on the validity of the self-report version. Eur Child Adolesc Psychiatry 1998;7:125-30.
40. Paykel ES, Myers JK, Lindenthal JJ et al. Suicidal feelings in the general population: a prevalence study. Br J Psychiatry 1974;124:460-9.
41. Gratz K. Measurement of deliberate self-harm: preliminary data on the Deliberate Self-Harm Inventory. J Psychopathol Behav Assess 2001;23:253-63.
42. WHO Multicentre Growth Reference Study Group. WHO child growth standards: length/height-for-age, weight-for-age, weight for-length, weight-for-height and body mass index-for-age: methods and development. Geneva: World Health Organization, 2006.
43. Balazs J, Miklosi M, Kereszteny A et al. Adolescent subthreshold depression and anxiety: psychopathology, functional impairment and increased suicide risk. J Child Psychol Psychiatry 2013;54:670-7.
44. Linzer DA, Lewis JB. poLCA: An R package for polytomous variable latent class analysis. J Stat Softw 2011;42:1-29.
45. Jackson CA, Henderson M, Frank JW et al. An overview of prevention of multiple risk behaviour in adolescence and young adulthood. J Public Health 2012;34(Suppl. 1):i31-40.
46. Yuma-Guerrero PJ, Lawson KA, Velasquez MM et al. Screening, brief intervention, and referral for alcohol use in adolescents: a systematic review. Pediatrics 2012;130:115-22.
47. Olsson GI, von Knorring AL. Adolescent depression: prevalence in Swedish high-school students. Acta Psychiatr Scand 1999;99:324-31.
48. Mouttapa M, Huang TT, Shakib S et al. Authority-related conformity as a protective factor against adolescent health risk behaviors. J Adolesc Health 2003;33:320-1.
49. Brener ND, Billy JO, Grady WR. Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature. J Adolesc Health 2003;33:436-57.
50. Brener ND, Grunbaum JA, Kann L et al. Assessing health risk behaviors among adolescents: the effect of question wording and appeals for honesty. J Adolesc Health 2004;35:91-100.
51. Achenbach TM. The Child Behavior Profile: I. Boys aged 6-11. J Consult Clin Psychol 1978;46:478-88.
52. Kokkevi A, Richardson C, Florescu S et al. Psychosocial correlates of substance use in adolescence: a cross-national study in six European countries. Drug AlcoholDepend 2007;86:67-74.
53. Barone C, Weissberg RP, Kasprow WJ et al. Involvement in multiple problem behaviors of young urban adolescents. J Prim Prev 1995;15:261-83.
54. Brodbeck J, Bachmann MS, Croudace TJ et al. Comparing growth trajectories of risk behaviors from late adolescence through young adulthood: an accelerated design. Dev Psychol 2013;49;1732-8.
55. Stenbacka M, Stenbacka M, Stattin H et al. Adolescent use of illicit drugs and adult offending: a Swedish longitudinal study. Drug and Alcohol Review2007;26:397-403.
56. van Lier PAC, Huizink A, Crijnen A. Impact of a preventive intervention targeting childhood disruptive behavior problems on tobacco and alcohol initiation from age 10 to 13 years. Drug and Alcohol Dependence 2009;100:228-33.
57. Clarke G, Harvey AG. The complex role of sleep in adolescent depression. Child Adolesc Psychiatr Clin N Am 2012;21:385-400.
58. Biddle SJ, Asare M. Physical activity and mental health in children and adolescents: a review of reviews. Br J SportsMed 2011;45:886-95.
59. Carli V, Durkee T, Wasserman D et al. The association between pathological internet use and comorbid psychopathology: a systematic review. Psychopathology 2013;46:1-13.

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ИЗДАНИЯ-ПАРТНЕРЫ

Новая группа подростков с «невидимым» риском психопатологии и суицидального поведения: находки исследования SEYLE

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ЖУРНАЛЫ

ИНТЕРАКТИВ

СПЕЦИАЛИЗАЦИИ

ИЗДАНИЯ-ПАРТНЕРЫ

Новая группа подростков с «невидимым» риском психопатологии и суицидального поведения: находки исследования SEYLE

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