The influence of childhood psychosocial stress on pubertal emotional and behavioral problems: a systematic review_Chinese Journal of Evidence-Based Medicine

Authors：

LUO Jie , ZHANG Jie , YE Siyan ,  LIU Qin

Research Center for Medicine and Social Development, School of Public Health, Chongqing Medical University, Chongqing 400016, P. R. China;

Corresponding author：

LIU Qin, Email: liuqin@cqmu.edu.cn

Keywords：

Child; Psychosocial stress; Puberty; Emotion; Behavior; Systematic review

DOI：

10.7507/1672-2531.202402090

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To systematically review the influence of childhood psychosocial stress on pubertal emotional and behavioral problems. Methods The PubMed, OVID, EBSCO, Web of Science, CBM, VIP, WanFang Data and CNKI databases were electronically searched to collect studies on the relationship between childhood psychosocial stress and pubertal emotional and behavioral problems from inception to February 29, 2024. Two reviewers independently screened the literature, extracted data and assessed the risk of bias in the included studies. Qualitative methods were then used to analyze the data. Results A total of 41 cohort studies were included. And outcomes in 19 studies involved pubertal emotional problems, 26 studies involved behavioral problems, and 7 studies involved overall problems. The results showed that depression (14/19) and anxiety (8/19) were the most commonly reported emotional behaviors. Most studies (17/19) showed that childhood psychological stress had a positive predictive effect on pubertal emotional problems. Behavioral problems involve many outcomes, including smoking, drinking, illegal substance use, self-injurious behavior, suicide, externalizing behavior, criminal behavior, bullying behavior, sexual behavior, mobile phone dependence, etc. However, few studies are on the same behaviors, and the relationship between childhood psychosocial stress and behavioral problems was unclear. Conclusion Childhood psychosocial stress may have a positive predictive effect on depression and anxiety. The association between childhood psychosocial stress and pubertal behavioral problems and other emotional problems remains to be determined by more studies.

1.	陶芳标. 青春期转型与心理健康. 实用儿科临床杂志, 2009, 24(11): 878-880.
2.	刘海霞, 李红, 赵天明, 等. 儿童情绪和行为问题的环境影响因素研究进展. 安徽预防医学杂志, 2022, 28(3): 228-233.
3.	文华. 中学生青春期常见的心理健康问题、成因及对策. 当代教育论坛(教学研究), 2011(10): 12-14.
4.	Al Mamun F, Hosen I, Misti JM, et al. Mental disorders of Bangladeshi students during the COVID-19 pandemic: a systematic review. Psychol Res Behav Manag, 2021, 14: 645-654.
5.	Li F, Cui Y, Li Y, et al. Prevalence of mental disorders in school children and adolescents in China: diagnostic data from detailed clinical assessments of 17 524 individuals. J Child Psychol Psychiatry, 2022, 63(1): 34-46.
6.	马兴帆. 全球13%青少年患有精神疾病. 公益时报, 2021-10-19(014).
7.	蒋晨, 杨亚明, 肖月, 等. 宜兴市某高中学生童年创伤和情绪、行为问题的关联研究. 海峡预防医学杂志, 2023, 29(5): 24-26.
8.	Stringaris A. Editorial: what is depression. J Child Psychol Psychiatry, 2017, 58(12): 1287-1289.
9.	Juruena MF, Eror F, Cleare AJ, et al. The role of early life stress in HPA axis and anxiety. Adv Exp Med Biol, 2020, 1191: 141-153.
10.	Zajkowska Z, Walsh A, Zonca V, et al. A systematic review of the association between biological markers and environmental stress risk factors for adolescent depression. J Psychiatr Res, 2021, 138: 163-175.
11.	Dong X, Burke MD, Ramirez G, et al. A meta-analysis of social skills interventions for preschoolers with or at risk of early emotional and behavioral problems. Behav Sci (Basel), 2023, 13(11): 940.
12.	Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
13.	艾飞玲, 胡葵茹, 石钰霖, 等. 基于纽卡斯尔-渥太华量表对中国吸烟队列研究文献的质量评价. 中华疾病控制杂志, 2021, 25(6): 722-729.
14.	Aebi M, Winkler Metzke C, Steinhausen HC. Predictors and outcomes of self-reported dysregulation profiles in youth from age 11 to 21 years. Eur Child Adolesc Psychiatry, 2020, 29(10): 1349-1361.
15.	Agnafors S, Svedin CG, Oreland L, et al. A biopsychosocial approach to risk and resilience on behavior in children followed from birth to age 12. Child Psychiatry Hum Dev, 2017, 48(4): 584-596.
16.	Anderson SF, Salk RH, Hyde JS. Stress in romantic relationships and adolescent depressive symptoms: influence of parental support. J Fam Psychol, 2015, 29(3): 339-348.
17.	Bannink R, Broeren S, van de Looij-Jansen PM, et al. Associations between parent-adolescent attachment relationship quality, negative life events and mental health. PLoS One, 2013, 8(11): e80812.
18.	Berden GF, Althaus M, Verhulst FC. Major life events and changes in the behavioural functioning of children. J Child Psychol Psychiatry, 1990, 31(6): 949-959.
19.	Booker CL, Unger JB, Azen SP, et al. Stressful life events and smoking behaviors in Chinese adolescents: a longitudinal analysis. Nicotine Tob Res, 2007, 9(11): 1085-1094.
20.	Booker CL, Unger JB, Azen SP, et al. A longitudinal analysis of stressful life events, smoking behaviors, and gender differences in a multicultural sample of adolescents. Subst Use Misuse, 2008, 43(11): 1521-1543.
21.	Boyes ME, Hasking PA, Martin G. Adverse life experience and psychological distress in adolescence: moderating and mediating effects of emotion regulation and rumination. Stress Health, 2016, 32(4): 402-410.
22.	Cheney MK, Oman RF, Vesely SK, et al. Prospective association between negative life events and initiation of sexual intercourse: the influence of family structure and family income. Am J Public Health, 2015, 105(3): 598-604.
23.	Cho S, Galehan J. Stressful life events and negative emotions on delinquency among korean youth: an empirical test of general strain theory assessing longitudinal mediation analysis. Int J Offender Ther Comp Criminol, 2020, 64(1): 38-62.
24.	Clark C, Caldwell T, Power C, et al. Does the influence of childhood adversity on psychopathology persist across the lifecourse. A 45-year prospective epidemiologic study. Ann Epidemiol, 2010, 20(5): 385-394.
25.	Connell NM, Morris RG, Piquero AR. Predicting bullying: exploring the contributions of childhood negative life experiences in predicting adolescent bullying behavior. Int J Offender Ther Comp Criminol, 2016, 60(9): 1082-1096.
26.	Corlis M, Damashek A. Examining parental factors as moderators between maltreatment and adolescent delinquency. J Interpers Violence, 2021, 36(17-18): NP9391-NP9415.
27.	Elsayed NM, Fields KM, Olvera RL, et al. The role of familial risk, parental psychopathology, and stress for first-onset depression during adolescence. J Affect Disord, 2019, 253: 232-239.
28.	Gao Y, Wang H, Liu X, et al. Associations between stressful life events, non-suicidal self-injury, and depressive symptoms among Chinese rural-to-urban children: a three-wave longitudinal study. Stress Health, 2020, 36(4): 522-532.
29.	Geels LM, Vink JM, Van Beijsterveldt CE, et al. Developmental prediction model for early alcohol initiation in Dutch adolescents. J Stud Alcohol Drugs, 2013, 74(1): 59-70.
30.	Iakunchykova OP, Andreeva TI, Nordstrom DL, et al. The impact of early life stress on risk of tobacco smoking initiation by adolescents. Addict Behav, 2015, 50: 222-228.
31.	Kerns KA, Siener S, Brumariu LE. Mother-child relationships, family context, and child characteristics as predictors of anxiety symptoms in middle childhood. Dev Psychopathol, 2011, 23(2): 593-604.
32.	Koechlin H, Donado C, Berde CB, et al. Effects of childhood life events on adjustment problems in adolescence: a longitudinal study. J Dev Behav Pediatr, 2018, 39(8): 629-641.
33.	Krebs GC, Hannigan LJ, Gregory AM, et al. Are punitive parenting and stressful life events environmental risk factors for obsessive-compulsive symptoms in youth. A longitudinal twin study. Eur Psychiatry, 2019, 56: 35-42.
34.	Laceulle OM, O'Donnell K, Glover V, et al. Stressful events and psychological difficulties: testing alternative candidates for sensitivity. Eur Child Adolesc Psychiatry, 2014, 23(2): 103-113.
35.	Roberts E, Francesconi M, Flouri E. The role of inflammation in the effects of peer victimisation and stressful life events on mental health in childhood. Brain Behav Immun Health, 2023, 34: 100695.
36.	Mackin DM, Perlman G, Davila J, et al. Social support buffers the effect of interpersonal life stress on suicidal ideation and self-injury during adolescence. Psychol Med, 2017, 47(6): 1149-1161.
37.	Michelini G, Perlman G, Tian Y, et al. Multiple domains of risk factors for first onset of depression in adolescent girls. J Affect Disord, 2021, 283: 20-29.
38.	McCarty CA, Rhew IC, Murowchick E, et al. Emotional health predictors of substance use initiation during middle school. Psychol Addict Behav, 2012, 26(2): 351-357.
39.	McIntyre L, Williams JV, Lavorato DH, et al. Depression and suicide ideation in late adolescence and early adulthood are an outcome of child hunger. J Affect Disord, 2013, 150(1): 123-129.
40.	McLaughlin KA, Hatzenbuehler ML. Mechanisms linking stressful life events and mental health problems in a prospective, community-based sample of adolescents. J Adolesc Health, 2009, 44(2): 153-160.
41.	Nolen-Hoeksema S, Girgus JS, Seligman ME. Predictors and consequences of childhood depressive symptoms: a 5-year longitudinal study. J Abnorm Psychol, 1992, 101(3): 405-422.
42.	Nook EC, Flournoy JC, Rodman AM, et al. High emotion differentiation buffers against internalizing symptoms following exposure to stressful life events in adolescence: an intensive longitudinal study. Clin Psychol Sci, 2021, 9(4): 699-718.
43.	Oldehinkel AJ, Ormel J. A longitudinal perspective on childhood adversities and onset risk of various psychiatric disorders. Eur Child Adolesc Psychiatry, 2015, 24(6): 641-650.
44.	Rohrbach LA, Grana R, Vernberg E, et al. Impact of hurricane Rita on adolescent substance use. Psychiatry, 2009, 72(3): 222-237.
45.	Rosen ML, Rodman AM, Kasparek SW, et al. Promoting youth mental health during the COVID-19 pandemic: A longitudinal study. PLoS One, 2021, 16(8): e0255294.
46.	St Clair MC, Croudace T, Dunn VJ, et al. Childhood adversity subtypes and depressive symptoms in early and late adolescence. Dev Psychopathol, 2015, 27(3): 885-899.
47.	Timmermans M, van Lier PA, Koot HM. The role of stressful events in the development of behavioural and emotional problems from early childhood to late adolescence. Psychol Med, 2010, 40(10): 1659-1668.
48.	Wills TA, Sandy JM, Yaeger A, et al. Family risk factors and adolescent substance use: moderation effects for temperament dimensions. Dev Psychol, 2001, 37(3): 283-297.
49.	Cao J, Xu X, Man X, et al. Protective role of resilience on the associations between childhood maltreatment and internalising and externalising problems. Stress Health, 2024, 40(2): e3300.
50.	Gao Y, Liang C, Liu X, et al. Self-esteem buffers the stress sensitizing effect of childhood maltreatment on adolescent nonsuicidal self-injury. J Affect Disord, 2024, 345: 85-93.
51.	Wichstrøm T, Wichstrøm L. Childhood predictors of nonsuicidal self-injury in adolescence: a birth cohort study. J Am Acad Child Adolesc Psychiatry, 2024, 27: S0890-S8567.
52.	陈君. 高中生自杀意念的易感性—应激模型: 多时段追踪研究. 长沙: 中南大学, 2011.
53.	王润程, 明庆森, 蒋雅丽, 等. 高中生生活事件与焦虑症状关系的追踪研究: 神经质的调节作用. 中国临床心理学杂志, 2014, 22(4): 615-618.
54.	杨娟. 高中生冗思对生活事件和抑郁\焦虑症状关系的调节作用—多时段追踪研究. 长沙: 中南大学, 2010.
55.	章晨晨. 青少年内化性问题及外化性问题危险因素的追踪研究. 长沙: 中南大学, 2009.
56.	彭萍. 高一学生冗思对抑郁症状的影响. 长沙: 中南大学, 2010.
57.	陈世英. 七年级学生抑郁症状认知易感因素的追踪研究及其教育启示. 长沙: 湖南科技大学, 2011.
58.	陈学彬, 梁妍, 刘琦, 等. 青少年非理性信念与应激对抑郁症状预测研究. 临床精神医学杂志, 2012, 22(5): 298-301.
59.	何安明, 万娇娇, 惠秋平. 青少年生活事件与手机依赖的关系: 一项交叉滞后研究. 中国临床心理学杂志, 2021, 29(2): 366-369.
60.	李月月, 刘琴, 黄欣, 等. 儿童青春早期心理应激对焦虑和抑郁的预测作用. 中国学校卫生, 2020, 41(6): 830-832.
61.	吴文懿, 刘琴, 李月月, 等. 青少年青春早中期心理社会应激与1年后情绪行为问题的关联. 中国学校卫生, 2022, 43(5): 644-647.
62.	张琴, 刘琴, 李月月, 等. 青春早中期心理应激对青少年健康危险行为的预测作用. 中国学校卫生, 2022, 43(5): 653-657.
63.	武丽丽. 压力对中学生心理健康和学业发展的影响. 重庆: 西南大学, 2019.
64.	郑肖语. 童年期创伤影响焦虑抑郁的神经机制: 恐惧学习过程中额叶和枕叶神经振荡的效应. 杭州: 杭州师范大学, 2023.
65.	田文涛. 高神经质个体状态焦虑的干预机制研究. 南昌: 江西师范大学, 2023.
66.	严晶晶, 曹罡, 王崇元, 等. 压力应激韧性的神经机制. 科学通报, 2023, 68(35): 4807-4820.
67.	赵朝奔. TRPM2基因甲基化与童年创伤对抑郁障碍影响的研究. 济宁: 济宁医学院, 2023.
68.	习近平. 完善科技成果评价机制深化医疗服务价格改革减轻义务教育阶段学生作业负担和校外培训负担. 党员干部之友, 2021(6): 5.
69.	刘舒丹, 刘琴, 罗燕, 等. 小学生应激性生活事件量表的编制. 中国心理卫生杂志, 2016, 30(10): 745-751.
70.	魏雯静, 郝春东. 高一学生心理压力来源及对策探究—以周口市第三高级中学为例. 西部素质教育, 2022, 8(16): 96-99.

1. 陶芳标. 青春期转型与心理健康. 实用儿科临床杂志, 2009, 24(11): 878-880.
2. 刘海霞, 李红, 赵天明, 等. 儿童情绪和行为问题的环境影响因素研究进展. 安徽预防医学杂志, 2022, 28(3): 228-233.
3. 文华. 中学生青春期常见的心理健康问题、成因及对策. 当代教育论坛(教学研究), 2011(10): 12-14.
4. Al Mamun F, Hosen I, Misti JM, et al. Mental disorders of Bangladeshi students during the COVID-19 pandemic: a systematic review. Psychol Res Behav Manag, 2021, 14: 645-654.
5. Li F, Cui Y, Li Y, et al. Prevalence of mental disorders in school children and adolescents in China: diagnostic data from detailed clinical assessments of 17 524 individuals. J Child Psychol Psychiatry, 2022, 63(1): 34-46.
6. 马兴帆. 全球13%青少年患有精神疾病. 公益时报, 2021-10-19(014).
7. 蒋晨, 杨亚明, 肖月, 等. 宜兴市某高中学生童年创伤和情绪、行为问题的关联研究. 海峡预防医学杂志, 2023, 29(5): 24-26.
8. Stringaris A. Editorial: what is depression. J Child Psychol Psychiatry, 2017, 58(12): 1287-1289.
9. Juruena MF, Eror F, Cleare AJ, et al. The role of early life stress in HPA axis and anxiety. Adv Exp Med Biol, 2020, 1191: 141-153.
10. Zajkowska Z, Walsh A, Zonca V, et al. A systematic review of the association between biological markers and environmental stress risk factors for adolescent depression. J Psychiatr Res, 2021, 138: 163-175.
11. Dong X, Burke MD, Ramirez G, et al. A meta-analysis of social skills interventions for preschoolers with or at risk of early emotional and behavioral problems. Behav Sci (Basel), 2023, 13(11): 940.
12. Stang A. Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol, 2010, 25(9): 603-605.
13. 艾飞玲, 胡葵茹, 石钰霖, 等. 基于纽卡斯尔-渥太华量表对中国吸烟队列研究文献的质量评价. 中华疾病控制杂志, 2021, 25(6): 722-729.
14. Aebi M, Winkler Metzke C, Steinhausen HC. Predictors and outcomes of self-reported dysregulation profiles in youth from age 11 to 21 years. Eur Child Adolesc Psychiatry, 2020, 29(10): 1349-1361.
15. Agnafors S, Svedin CG, Oreland L, et al. A biopsychosocial approach to risk and resilience on behavior in children followed from birth to age 12. Child Psychiatry Hum Dev, 2017, 48(4): 584-596.
16. Anderson SF, Salk RH, Hyde JS. Stress in romantic relationships and adolescent depressive symptoms: influence of parental support. J Fam Psychol, 2015, 29(3): 339-348.
17. Bannink R, Broeren S, van de Looij-Jansen PM, et al. Associations between parent-adolescent attachment relationship quality, negative life events and mental health. PLoS One, 2013, 8(11): e80812.
18. Berden GF, Althaus M, Verhulst FC. Major life events and changes in the behavioural functioning of children. J Child Psychol Psychiatry, 1990, 31(6): 949-959.
19. Booker CL, Unger JB, Azen SP, et al. Stressful life events and smoking behaviors in Chinese adolescents: a longitudinal analysis. Nicotine Tob Res, 2007, 9(11): 1085-1094.
20. Booker CL, Unger JB, Azen SP, et al. A longitudinal analysis of stressful life events, smoking behaviors, and gender differences in a multicultural sample of adolescents. Subst Use Misuse, 2008, 43(11): 1521-1543.
21. Boyes ME, Hasking PA, Martin G. Adverse life experience and psychological distress in adolescence: moderating and mediating effects of emotion regulation and rumination. Stress Health, 2016, 32(4): 402-410.
22. Cheney MK, Oman RF, Vesely SK, et al. Prospective association between negative life events and initiation of sexual intercourse: the influence of family structure and family income. Am J Public Health, 2015, 105(3): 598-604.
23. Cho S, Galehan J. Stressful life events and negative emotions on delinquency among korean youth: an empirical test of general strain theory assessing longitudinal mediation analysis. Int J Offender Ther Comp Criminol, 2020, 64(1): 38-62.
24. Clark C, Caldwell T, Power C, et al. Does the influence of childhood adversity on psychopathology persist across the lifecourse. A 45-year prospective epidemiologic study. Ann Epidemiol, 2010, 20(5): 385-394.
25. Connell NM, Morris RG, Piquero AR. Predicting bullying: exploring the contributions of childhood negative life experiences in predicting adolescent bullying behavior. Int J Offender Ther Comp Criminol, 2016, 60(9): 1082-1096.
26. Corlis M, Damashek A. Examining parental factors as moderators between maltreatment and adolescent delinquency. J Interpers Violence, 2021, 36(17-18): NP9391-NP9415.
27. Elsayed NM, Fields KM, Olvera RL, et al. The role of familial risk, parental psychopathology, and stress for first-onset depression during adolescence. J Affect Disord, 2019, 253: 232-239.
28. Gao Y, Wang H, Liu X, et al. Associations between stressful life events, non-suicidal self-injury, and depressive symptoms among Chinese rural-to-urban children: a three-wave longitudinal study. Stress Health, 2020, 36(4): 522-532.
29. Geels LM, Vink JM, Van Beijsterveldt CE, et al. Developmental prediction model for early alcohol initiation in Dutch adolescents. J Stud Alcohol Drugs, 2013, 74(1): 59-70.
30. Iakunchykova OP, Andreeva TI, Nordstrom DL, et al. The impact of early life stress on risk of tobacco smoking initiation by adolescents. Addict Behav, 2015, 50: 222-228.
31. Kerns KA, Siener S, Brumariu LE. Mother-child relationships, family context, and child characteristics as predictors of anxiety symptoms in middle childhood. Dev Psychopathol, 2011, 23(2): 593-604.
32. Koechlin H, Donado C, Berde CB, et al. Effects of childhood life events on adjustment problems in adolescence: a longitudinal study. J Dev Behav Pediatr, 2018, 39(8): 629-641.
33. Krebs GC, Hannigan LJ, Gregory AM, et al. Are punitive parenting and stressful life events environmental risk factors for obsessive-compulsive symptoms in youth. A longitudinal twin study. Eur Psychiatry, 2019, 56: 35-42.
34. Laceulle OM, O'Donnell K, Glover V, et al. Stressful events and psychological difficulties: testing alternative candidates for sensitivity. Eur Child Adolesc Psychiatry, 2014, 23(2): 103-113.
35. Roberts E, Francesconi M, Flouri E. The role of inflammation in the effects of peer victimisation and stressful life events on mental health in childhood. Brain Behav Immun Health, 2023, 34: 100695.
36. Mackin DM, Perlman G, Davila J, et al. Social support buffers the effect of interpersonal life stress on suicidal ideation and self-injury during adolescence. Psychol Med, 2017, 47(6): 1149-1161.
37. Michelini G, Perlman G, Tian Y, et al. Multiple domains of risk factors for first onset of depression in adolescent girls. J Affect Disord, 2021, 283: 20-29.
38. McCarty CA, Rhew IC, Murowchick E, et al. Emotional health predictors of substance use initiation during middle school. Psychol Addict Behav, 2012, 26(2): 351-357.
39. McIntyre L, Williams JV, Lavorato DH, et al. Depression and suicide ideation in late adolescence and early adulthood are an outcome of child hunger. J Affect Disord, 2013, 150(1): 123-129.
40. McLaughlin KA, Hatzenbuehler ML. Mechanisms linking stressful life events and mental health problems in a prospective, community-based sample of adolescents. J Adolesc Health, 2009, 44(2): 153-160.
41. Nolen-Hoeksema S, Girgus JS, Seligman ME. Predictors and consequences of childhood depressive symptoms: a 5-year longitudinal study. J Abnorm Psychol, 1992, 101(3): 405-422.
42. Nook EC, Flournoy JC, Rodman AM, et al. High emotion differentiation buffers against internalizing symptoms following exposure to stressful life events in adolescence: an intensive longitudinal study. Clin Psychol Sci, 2021, 9(4): 699-718.
43. Oldehinkel AJ, Ormel J. A longitudinal perspective on childhood adversities and onset risk of various psychiatric disorders. Eur Child Adolesc Psychiatry, 2015, 24(6): 641-650.
44. Rohrbach LA, Grana R, Vernberg E, et al. Impact of hurricane Rita on adolescent substance use. Psychiatry, 2009, 72(3): 222-237.
45. Rosen ML, Rodman AM, Kasparek SW, et al. Promoting youth mental health during the COVID-19 pandemic: A longitudinal study. PLoS One, 2021, 16(8): e0255294.
46. St Clair MC, Croudace T, Dunn VJ, et al. Childhood adversity subtypes and depressive symptoms in early and late adolescence. Dev Psychopathol, 2015, 27(3): 885-899.
47. Timmermans M, van Lier PA, Koot HM. The role of stressful events in the development of behavioural and emotional problems from early childhood to late adolescence. Psychol Med, 2010, 40(10): 1659-1668.
48. Wills TA, Sandy JM, Yaeger A, et al. Family risk factors and adolescent substance use: moderation effects for temperament dimensions. Dev Psychol, 2001, 37(3): 283-297.
49. Cao J, Xu X, Man X, et al. Protective role of resilience on the associations between childhood maltreatment and internalising and externalising problems. Stress Health, 2024, 40(2): e3300.
50. Gao Y, Liang C, Liu X, et al. Self-esteem buffers the stress sensitizing effect of childhood maltreatment on adolescent nonsuicidal self-injury. J Affect Disord, 2024, 345: 85-93.
51. Wichstrøm T, Wichstrøm L. Childhood predictors of nonsuicidal self-injury in adolescence: a birth cohort study. J Am Acad Child Adolesc Psychiatry, 2024, 27: S0890-S8567.
52. 陈君. 高中生自杀意念的易感性—应激模型: 多时段追踪研究. 长沙: 中南大学, 2011.
53. 王润程, 明庆森, 蒋雅丽, 等. 高中生生活事件与焦虑症状关系的追踪研究: 神经质的调节作用. 中国临床心理学杂志, 2014, 22(4): 615-618.
54. 杨娟. 高中生冗思对生活事件和抑郁\焦虑症状关系的调节作用—多时段追踪研究. 长沙: 中南大学, 2010.
55. 章晨晨. 青少年内化性问题及外化性问题危险因素的追踪研究. 长沙: 中南大学, 2009.
56. 彭萍. 高一学生冗思对抑郁症状的影响. 长沙: 中南大学, 2010.
57. 陈世英. 七年级学生抑郁症状认知易感因素的追踪研究及其教育启示. 长沙: 湖南科技大学, 2011.
58. 陈学彬, 梁妍, 刘琦, 等. 青少年非理性信念与应激对抑郁症状预测研究. 临床精神医学杂志, 2012, 22(5): 298-301.
59. 何安明, 万娇娇, 惠秋平. 青少年生活事件与手机依赖的关系: 一项交叉滞后研究. 中国临床心理学杂志, 2021, 29(2): 366-369.
60. 李月月, 刘琴, 黄欣, 等. 儿童青春早期心理应激对焦虑和抑郁的预测作用. 中国学校卫生, 2020, 41(6): 830-832.
61. 吴文懿, 刘琴, 李月月, 等. 青少年青春早中期心理社会应激与1年后情绪行为问题的关联. 中国学校卫生, 2022, 43(5): 644-647.
62. 张琴, 刘琴, 李月月, 等. 青春早中期心理应激对青少年健康危险行为的预测作用. 中国学校卫生, 2022, 43(5): 653-657.
63. 武丽丽. 压力对中学生心理健康和学业发展的影响. 重庆: 西南大学, 2019.
64. 郑肖语. 童年期创伤影响焦虑抑郁的神经机制: 恐惧学习过程中额叶和枕叶神经振荡的效应. 杭州: 杭州师范大学, 2023.
65. 田文涛. 高神经质个体状态焦虑的干预机制研究. 南昌: 江西师范大学, 2023.
66. 严晶晶, 曹罡, 王崇元, 等. 压力应激韧性的神经机制. 科学通报, 2023, 68(35): 4807-4820.
67. 赵朝奔. TRPM2基因甲基化与童年创伤对抑郁障碍影响的研究. 济宁: 济宁医学院, 2023.
68. 习近平. 完善科技成果评价机制深化医疗服务价格改革减轻义务教育阶段学生作业负担和校外培训负担. 党员干部之友, 2021(6): 5.
69. 刘舒丹, 刘琴, 罗燕, 等. 小学生应激性生活事件量表的编制. 中国心理卫生杂志, 2016, 30(10): 745-751.
70. 魏雯静, 郝春东. 高一学生心理压力来源及对策探究—以周口市第三高级中学为例. 西部素质教育, 2022, 8(16): 96-99.

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