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Toh SHY, Wan MJS, Kroneman LM, Nyein N, Wong JCM. Temperament and adolescent suicide attempts: a case-control study with multi-ethnic Asian adolescents. BMC Psychiatry 2023; 23:434. [PMID: 37322458 PMCID: PMC10267549 DOI: 10.1186/s12888-023-04914-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Accepted: 05/30/2023] [Indexed: 06/17/2023] Open
Abstract
BACKGROUND Suicide is the leading cause of death for adolescents in several parts of Asia, including Singapore. This study examines the relationship between temperament and youth suicide attempts in a sample of multi-ethnic Singaporean adolescents. METHODS A case-control design compared 60 adolescents (Mage = 16.40, SDage = 2.00) with a recent suicide attempt (i.e., past 6 months) with 58 adolescents (Mage = 16.00, SDage = 1.68) without any history of suicide attempts. Presence of suicide attempts was established using the semi-structured interviewer-administered Columbia Suicide Severity Rating Scale. Participants also completed self-report measures on temperament traits, psychiatric diagnoses, stressful life events, and perceived parental rejection in an interview-based format. RESULTS Psychiatric comorbidity, recent stressful life events, perceived parental rejection, and all five "difficult temperament" traits, were significantly overrepresented among adolescent cases relative to healthy controls. Adjusted logistic regression models revealed significant associations between suicide attempt, MDD comorbidity (OR: 10.7, 95% Cl: (2.24-51.39)), "negative mood" trait (OR: 1.12-1.18, 95% Cl: (1.00-1.27)), and the interaction term of "positive mood" and "high adaptability" traits (OR: 0.943 - 0.955, 95% Cl: (0.900 - 0.986)). Specifically, "positive mood" predicted lower likelihood of a suicide attempt when "adaptability" was high (OR: 0.335 - 0.342, 95% Cl: (0.186 - 0.500)) but not low (OR: 0.968 - 0.993, 95% Cl: (0.797 - 1.31)). CONCLUSION Temperament screening may be important to identify adolescents at higher or lower risk of suicide at an early stage. More longitudinal and neurobiological research converging on these temperament findings will be helpful in ascertaining temperament screening as an effective suicide prevention methodology for adolescents.
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Affiliation(s)
- Sean H Y Toh
- NUS Mind-Science Centre, Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Queenstown, Singapore.
- Research Department, Intellect Pte Ltd, Tanjong Pagar, Singapore.
| | - Michelle J S Wan
- NUS Mind-Science Centre, Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Queenstown, Singapore
| | - Leoniek M Kroneman
- NUS Mind-Science Centre, Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Queenstown, Singapore
| | - N Nyein
- Department of Psychological Medicine, National University Health Systems, Queenstown, Singapore
| | - John C M Wong
- NUS Mind-Science Centre, Department of Psychological Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Queenstown, Singapore
- Department of Psychological Medicine, National University Health Systems, Queenstown, Singapore
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Hartmann SA, Hayes T, Sutherland MT, Trucco EM. Risk factors for early use of e-cigarettes and alcohol: Dimensions and profiles of temperament. Dev Psychopathol 2023; 35:481-493. [PMID: 34924096 PMCID: PMC9207150 DOI: 10.1017/s0954579421001565] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Adolescent e-cigarette use has been labeled an epidemic and alcohol use during this developmental period is associated with deleterious outcomes. Though specific temperamental dimensions have been shown to predict substance use, profiles of temperament have rarely been examined as predictors. This study examines dimensions and profiles of adolescent temperament as predictors of early use of e-cigarettes and alcohol. The sample was comprised of adolescent (62.07% female, 87.59% White, 82.76% Hispanic/Latinx)/caregiver dyads (N = 146) who completed the first two timepoints (M age at second timepoint = 16.16, SD = 0.68) of a longitudinal adolescent substance use study. Models showed parent-reported effortful control predicted protection against adolescent use of e-cigarettes, whereas adolescent report of effortful control predicted protection against alcohol use. Though dissimilar in temperamental pattern, three profiles emerged from both parent- and adolescent-report-based latent profile analysis models. Adolescents characterized by parents as displaying a Resilient profile had greater odds of e-cigarette use than those characterized by a Reserved profile, whereas adolescents who self-characterized as Mixed-type had markedly greater odds of alcohol use than those who self-characterized as Resilient. Utilization of temperamental profiles may aid in identification of particularly vulnerable subgroups of adolescents who may benefit from relevant preventative programing.
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Affiliation(s)
- Sarah A Hartmann
- Psychology Department, Center for Children and Families, Florida International University, Miami, FL, USA
| | - Timothy Hayes
- Psychology Department, Center for Children and Families, Florida International University, Miami, FL, USA
| | - Matthew T Sutherland
- Psychology Department, Center for Children and Families, Florida International University, Miami, FL, USA
| | - Elisa M Trucco
- Psychology Department, Center for Children and Families, Florida International University, Miami, FL, USA
- Psychiatry Department, University of Michigan, Ann Arbor, MI, USA
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Barch DM, Albaugh MD, Baskin-Sommers A, Bryant BE, Clark DB, Dick AS, Feczko E, Foxe JJ, Gee DG, Giedd J, Glantz MD, Hudziak JJ, Karcher NR, LeBlanc K, Maddox M, McGlade EC, Mulford C, Nagel BJ, Neigh G, Palmer CE, Potter AS, Sher KJ, Tapert SF, Thompson WK, Xie L. Demographic and mental health assessments in the adolescent brain and cognitive development study: Updates and age-related trajectories. Dev Cogn Neurosci 2021; 52:101031. [PMID: 34742018 PMCID: PMC8579129 DOI: 10.1016/j.dcn.2021.101031] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Revised: 10/14/2021] [Accepted: 10/27/2021] [Indexed: 01/26/2023] Open
Abstract
The Adolescent Brain Cognitive Development (ABCD) Study of 11,880 youth incorporates a comprehensive range of measures assessing predictors and outcomes related to mental health across childhood and adolescence in participating youth, as well as information about family mental health history. We have previously described the logic and content of the mental health assessment battery at Baseline and 1-year follow-up. Here, we describe changes to that battery and issues and clarifications that have emerged, as well as additions to the mental health battery at the 2-, 3-, 4-, and 5-year follow-ups. We capitalize on the recent release of longitudinal data for caregiver and youth report of mental health data to evaluate trajectories of dimensions of psychopathology as a function of demographic factors. For both caregiver and self-reported mental health symptoms, males showed age-related decreases in internalizing and externalizing symptoms, while females showed an increase in internalizing symptoms with age. Multiple indicators of socioeconomic status (caregiver education, family income, financial adversity, neighborhood poverty) accounted for unique variance in both caregiver and youth-reported externalizing and internalizing symptoms. These data highlight the importance of examining developmental trajectories of mental health as a function of key factors such as sex and socioeconomic environment.
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Affiliation(s)
- Deanna M. Barch
- Departments of Psychological & Brain Sciences, Psychiatry, & Radiology, Washington University, Box 1125, One Brookings Drive, St. Louis, MO 63130, United States,Correspondence to: Psychological & Brain Sciences, Psychiatry, Washington University in St. Louis, Box 1125, One Brookings Drive, St. Louis, MO 63130, United States.
| | - Matthew D. Albaugh
- Department of Psychiatry, University of Vermont College of Medicine, Mail Stop 446 AR6, 1 South Prospect Street, Burlington, VT 05401, United States
| | - Arielle Baskin-Sommers
- Department of Psychology, Yale University, P.O. Box 208205, New Haven, CT 06520, United States.
| | - Brittany E. Bryant
- Department of Psychiatry and Behavioral Science, Medical University of South Carolina, 171 Ashley Avenue, Charleston, SC 29425, United States
| | - Duncan B. Clark
- Department of Psychiatry, University of Pittsburgh, 3811O’Hara Street, Pittsburgh, PA 15215, United States
| | - Anthony Steven Dick
- Department of Psychology, Florida International University, 11200 SW 8th Street, DM 256, Miami, FL 33199, United States.
| | - Eric Feczko
- Masonic Institute for the Developing Brain, University of Minnesota, 717 Delaware SE St, Minneapolis, MN 55414, United States.
| | - John J. Foxe
- The Del Monte Institute for Neuroscience, Department of Neuroscience, University of Rochester School of Medicine and Dentistry, Rochester, NY 14642, United States
| | - Dylan G. Gee
- Department of Psychology, Yale University, 216 Kirtland Hall, New Haven, CT 06520, United States
| | - Jay Giedd
- Department of Psychiatry, University of California at San Diego, 9500 Gilman Drive (0603), La Jolla, CA 92093-0603, United States.
| | - Meyer D. Glantz
- Department of Epidemiology, Services, and Prevention Research, National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD 20892, United States
| | - James J. Hudziak
- Department of Psychiatry, University of Vermont College of Medicine, St. Joe’s Room 3213, Box 364SJ, 1 South Prospect, Burlington, VT 05401, United States
| | - Nicole R. Karcher
- Department of Psychiatry, Washington University, 660 South Euclid Avenue, St. Louis, MO 63110, United States
| | - Kimberly LeBlanc
- Division of Extramural Research, National Institute on Drug Abuse, Kimberly, United States.
| | - Melanie Maddox
- Department of Psychiatry, University of Utah School of Medicine, 501 Chipeta Way, Salt Lake City, UT 84108, United States.
| | - Erin C. McGlade
- Department of Psychiatry, University of Utah School of Medicine, 501 Chipeta Way, Salt Lake City, UT 84108, United States
| | - Carrie Mulford
- Department of Epidemiology, Services, and Prevention Research, National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD 20892, United States.
| | - Bonnie J. Nagel
- Departments of Psychiatry and Behavioral Neuroscience, Oregon Health & Science University, 3181 SW Sam Jackson Park Road UHN-80R1, Portland, OR 97239, United States
| | - Gretchen Neigh
- Department of Anatomy and Neurobiology, Virginia Commonwealth University, 1101 East Marschall Street, Box 980709, Richmond, VA 23298, United States.
| | - Clare E. Palmer
- Department of Psychiatry, University of California at San Diego, 9500 Gilman Drive (0603), La Jolla, CA 92093-0603, United States
| | - Alexandra S. Potter
- Department of Psychiatry, University of Vermont College of Medicine, 1 South Prospect Street Arnold 6, Burlington, VT 05401, United States
| | - Kenneth J. Sher
- Department of Psychological Sciences, University of Missouri, 200 South Seventh Street, Columbia, MO 65211, United States
| | - Susan F. Tapert
- Department of Psychiatry, University of California at San Diego, 9500 Gilman Drive (0603), La Jolla, CA 92093-0603, United States
| | - Wesley K. Thompson
- Population Neuroscience and Genetics Lab, Herbert Wertheim School of Public Health, University of California at San Diego, 9500 Gilman Drive (0603), La Jolla, CA 92093-0603, United States
| | - Laili Xie
- Department of Psychiatry, University of California at San Diego, 9500 Gilman Drive (0603), La Jolla, CA 92093-0603, United States.
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Lawson KM, Atherton OE, Robins RW. The structure of adolescent temperament and associations with psychological functioning: A replication and extension of Snyder et al. (2015). J Pers Soc Psychol 2021; 121:e19-e39. [PMID: 33539154 DOI: 10.1037/pspp0000380] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
The present study attempts to replicate and extend Snyder et al. (2015, JPSP). The original study examined the latent factor structure of the Early Adolescent Temperament Questionnaire-Revised (EATQ-R), a commonly used measure of adolescent temperament, and showed that the resulting latent factors (i.e., effortful control, negative emotionality, and positive emotionality) had theoretically meaningful concurrent associations with several measures of adolescent functioning (depression, anxiety, attention-deficit hyperactivity disorder [ADHD], relational aggression, and school performance and behavior). We performed these same analyses using data from a large sample of Mexican-origin youth (N = 674), and also examined prospective associations between the three EATQ-R factors and measures of adolescent functioning assessed two years later. We found some evidence supporting the bifactor models reported in the original study but poor replication of the correlations among latent factors. Additionally, model comparisons demonstrated that correlated factors models produced more interpretable factors than the bifactor models. In contrast, we replicated most of the concurrent correlations (and extended the findings to prospective associations) between the EATQ-R factors and measures of adolescent functioning, supporting the construct validity of the EATQ-R as a measure of adolescent temperament. Thus, these findings raise concerns about the generalizability of the factor structure identified by Snyder et al. (2015), but bolster claims about the generalizability of the concurrent and predictive validity of the EATQ-R. Overall, differences between the present findings and those of Snyder et al. (2015) highlight the importance of ongoing construct validation in youth temperament research, especially with participants from groups traditionally underrepresented in psychological research. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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