Youth adversity and trajectories of depression/anxiety symptoms in adolescence in the context of intersectionality in the United Kingdom.

adolescence adversity anxiety depression intersectionality longitudinal studies

Journal

Psychological medicine
ISSN: 1469-8978
Titre abrégé: Psychol Med
Pays: England
ID NLM: 1254142

Informations de publication

Date de publication:
16 Apr 2024
Historique:
medline: 16 4 2024
pubmed: 16 4 2024
entrez: 16 4 2024
Statut: aheadofprint

Résumé

Youth adversity is associated with persistence of depression and anxiety symptoms. This association may be greater for disadvantaged societal groups (such as females) compared with advantaged groups (e.g. males). Given that persistent symptoms are observed across a range of disadvantaged, minoritized, and neurodivergent groups (e.g. low compared with high socio-economic status [SES]), the intersection of individual characteristics may be an important moderator of inequality. Data from HeadStart Cornwall ( Youth adversity was associated with higher average depression/anxiety symptoms at baseline (11-12-years) across all intersectionality profiles. The magnitude of effects differed across profiles, with suggestive evidence for a moderating effect of youth adversity on change over time in depression/anxiety symptoms attributable to the intersection between (i) gender and SES; and (ii) gender, SES, and hyperactivity/inattention. The detrimental effects of youth adversity pervade across intersectionality profiles. The extent to which these effects are moderated by intersectionality is discussed in terms of operational factors. The current results provide a platform for further research, which is needed to determine the importance of intersectionality as a moderator of youth adversity on the development of depression and anxiety symptoms in adolescence.

Sections du résumé

BACKGROUND BACKGROUND
Youth adversity is associated with persistence of depression and anxiety symptoms. This association may be greater for disadvantaged societal groups (such as females) compared with advantaged groups (e.g. males). Given that persistent symptoms are observed across a range of disadvantaged, minoritized, and neurodivergent groups (e.g. low compared with high socio-economic status [SES]), the intersection of individual characteristics may be an important moderator of inequality.
METHODS METHODS
Data from HeadStart Cornwall (
RESULTS RESULTS
Youth adversity was associated with higher average depression/anxiety symptoms at baseline (11-12-years) across all intersectionality profiles. The magnitude of effects differed across profiles, with suggestive evidence for a moderating effect of youth adversity on change over time in depression/anxiety symptoms attributable to the intersection between (i) gender and SES; and (ii) gender, SES, and hyperactivity/inattention.
CONCLUSIONS CONCLUSIONS
The detrimental effects of youth adversity pervade across intersectionality profiles. The extent to which these effects are moderated by intersectionality is discussed in terms of operational factors. The current results provide a platform for further research, which is needed to determine the importance of intersectionality as a moderator of youth adversity on the development of depression and anxiety symptoms in adolescence.

Identifiants

DOI: 10.1017/S0033291724000795 PMID: 38623689
pubmed: 38623689
doi: 10.1017/S0033291724000795
pii: S0033291724000795
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1-11

Auteurs

Laura Havers (L)

Centre for Psychiatry and Mental Health, Wolfson Institute of Population Health, Queen Mary, University of London, London, UK.
ORCID: 0000-0003-2529-4669

Ruichong Shuai (R)

Centre for Psychiatry and Mental Health, Wolfson Institute of Population Health, Queen Mary, University of London, London, UK.

Peter Fonagy (P)

Anna Freud National Centre for Children and Families, London, UK.
Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.

Mina Fazel (M)

Department of Psychiatry, University of Oxford, Oxford, UK.

Craig Morgan (C)

Health Service and Population Research, Institute of Psychology, Psychiatry & Neuroscience, King's College London, London, UK.
ESRC Centre for Society and Mental Health, King's College London, London, UK.

Daisy Fancourt (D)

Department of Behavioural Science and Health, University College London, London, UK.

Paul McCrone (P)

Institute for Lifecourse Development, University of Greenwich, London, UK.

Melanie Smuk (M)

Centre for Genomics and Child Health, Blizard Institute, Queen Mary, University of London, London, UK.

Kamaldeep Bhui (K)

Department of Psychiatry, Nuffield Department of Primary Care Health Sciences, and Wadham College, University of Oxford, Oxford, UK.
Oxford Health, Oxford and East London NHS Foundation Trusts, London, UK.
World Psychiatric Association Collaborating Centre, Oxford, UK.

Sania Shakoor (S)

Centre for Psychiatry and Mental Health, Wolfson Institute of Population Health, Queen Mary, University of London, London, UK.

Georgina M Hosang (GM)

Centre for Psychiatry and Mental Health, Wolfson Institute of Population Health, Queen Mary, University of London, London, UK.

Classifications MeSH