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Background <p>Adolescence is a sensitive period with emotional and behavioral problems, and childhood long psychosocial stress exposure might relate with these problems. This study aimed to identify the overall trajectory and multi-trajectory of psychosocial stress and relate these to emotional and behavioral problems in adolescence.&#xa0;The population were from a pubertal development cohort which was established in Chongqing, Southwest China in 2014. A total of 1002 (51.30% female; mean age in wave 1 = 9.02, SD = 1.19) participants was used in this study. From wave1 to wave7, questionnaires including psychosocial stress were conducted every six months. In wave8, depression, anxiety and emotional and behavioral problems were measured. Group-based trajectory model (GBTM) and group-based multi-trajectory model (GBMTM) were used to model the overall trajectory and multi-trajectory based on five dimensions. Furthermore, we investigated the relationship between the trajectories and depression, anxiety and emotional and behavioral problems.&#xa0;There were three distinct trajectories of total psychosocial stress. High and Moderate psychosocial stress trajectory groups had a significantly higher risk of depression (<i>OR</i><sub>High</sub> = 5.57, 95%CI:2.82–10.98; <i>OR</i><sub>Moderate</sub> = 3.75, 95%CI:2.42–5.80), anxiety(<i>OR</i><sub>High</sub> = 8.33, 95%CI:3.82–18.16; <i>OR</i><sub>Moderate</sub> = 3.09,95%CI:1.77–5.42) and emotional and behavioral problems (Total score: <i>β</i><sub>High</sub> = 25.83, SE = 2.80; <i>β</i><sub>Moderate</sub> = 12.36, SE = 1.59), compare to Low psychosocial stress trajectory group. Different from just considering the overall change in total score, four multi-trajectories were identified. Children experience a reduction in psychosocial stress related to peer relationships and life adaptation, while experiencing an increase in psychological stress related to family life, teacher-student relationships, and academic adaptation.&#xa0;High psychosocial stress trajectory was associated with emotional and behavioral problems, regardless of using total scores or multiple trajectories. More focused public health strategies may be required to assist in identifying vulnerable children who suffer or are more susceptible to psychosocial stress.</p>

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The association between psychosocial stress trajectories and emotional and behavioral problems in children and adolescents

  • 期刊论文

  • 发表日期：

    2025年7月17日

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  • Jie Zhang,
  • Xinyi Feng,
  • Wenhe Wang,
  • Jie Luo,
  • Tianwenjing Huang,
  • Zixuan Chen,
  • Qin Zhang,
  • Di Wu,
  • Shundan Liu,
  • Qin Liu

摘要

Background

Adolescence is a sensitive period with emotional and behavioral problems, and childhood long psychosocial stress exposure might relate with these problems. This study aimed to identify the overall trajectory and multi-trajectory of psychosocial stress and relate these to emotional and behavioral problems in adolescence. The population were from a pubertal development cohort which was established in Chongqing, Southwest China in 2014. A total of 1002 (51.30% female; mean age in wave 1 = 9.02, SD = 1.19) participants was used in this study. From wave1 to wave7, questionnaires including psychosocial stress were conducted every six months. In wave8, depression, anxiety and emotional and behavioral problems were measured. Group-based trajectory model (GBTM) and group-based multi-trajectory model (GBMTM) were used to model the overall trajectory and multi-trajectory based on five dimensions. Furthermore, we investigated the relationship between the trajectories and depression, anxiety and emotional and behavioral problems. There were three distinct trajectories of total psychosocial stress. High and Moderate psychosocial stress trajectory groups had a significantly higher risk of depression (ORHigh = 5.57, 95%CI:2.82–10.98; ORModerate = 3.75, 95%CI:2.42–5.80), anxiety(ORHigh = 8.33, 95%CI:3.82–18.16; ORModerate = 3.09,95%CI:1.77–5.42) and emotional and behavioral problems (Total score: βHigh = 25.83, SE = 2.80; βModerate = 12.36, SE = 1.59), compare to Low psychosocial stress trajectory group. Different from just considering the overall change in total score, four multi-trajectories were identified. Children experience a reduction in psychosocial stress related to peer relationships and life adaptation, while experiencing an increase in psychological stress related to family life, teacher-student relationships, and academic adaptation. High psychosocial stress trajectory was associated with emotional and behavioral problems, regardless of using total scores or multiple trajectories. More focused public health strategies may be required to assist in identifying vulnerable children who suffer or are more susceptible to psychosocial stress.