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Transdiagnostic Emotional Vulnerabilities Linking Obsessive-Compulsive and Depressive Symptoms in a Community-Based Sample of Adolescents
Title
Transdiagnostic Emotional Vulnerabilities Linking Obsessive-Compulsive and Depressive Symptoms in a Community-Based Sample of Adolescents
Creator
Chasson, Gregory S., Bello, Mariel S., Luxon, Alexandria M., Graham, Trevor A. A., Leventhal, Adam M.
Date
2017, 2017
Publisher
Wiley Periodicals, Inc.
Description
Background: Transdiagnostic emotional vulnerabilities are suspected to underlie psychopathologic comorbidity but have received little...
Show moreBackground: Transdiagnostic emotional vulnerabilities are suspected to underlie psychopathologic comorbidity but have received little attention in adolescent emotional pathology literature. We examined distress tolerance, anxiety sensitivity, and anhedonia as concomitant transdiagnostic mechanisms that account for (i.e., statistically mediate) the covariance between adolescent obsessive-compulsive disorder (OCD) and major depressive disorder (MDD) symptoms. Method: Data on MDD, OCD, and the three aforementioned transdiagnostic vulnerabilities were collected from a community-based sample of 3,094 9th graders in a large metropolitan area and analyzed using mixed effects modeling to evaluate mediation effects. Results: Individually and when controlling for each other, all three transdiagnostic vulnerabilities mediated the relation between OCD and MDD symptoms both before and after adjusting for demographics. Conclusions: Distress tolerance, anxiety sensitivity, and anhedonia may be unique mechanisms accounting for comorbidity between OCD and MDD symptoms in youth. Longitudinal evaluation of these candidate transdiagnostic emotional vulnerabilities in adolescent OCD-MDD comorbidity is warranted.
Sponsorship: Grant sponsor: National Institute on Drug Abuse; Contract grant number: R01?DA033296.
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Examining Partnership-Health Associations Among Lesbian Women and Gay Men Using Population-Level Data
Title
Examining Partnership-Health Associations Among Lesbian Women and Gay Men Using Population-Level Data
Creator
Du Bois, Steve N., Legate, Nicole, Kendall, Ashley D.
Date
2019
Description
Abstract...
Show moreAbstract Purpose: The aim was to provide the first broad assessment of partnership-health associations across partnership statuses among sexual minority individuals. Methods: Using population-level data from the 2016 U.S. Behavioral Risk Factor Surveillance System, specifically the 26 states/territories that assessed sexual orientation and gender identity, we ran analyses of covariance and logistic regressions to compare lesbian and gay individuals (N = 2963) of different partnership statuses in general health, physical health and health conditions, mental health, health behaviors, and healthcare access/utilization domains. Results: All omnibus and logistic regression models were significant (p < 0.001). Follow-up pairwise comparisons of mean differences across partnership groups revealed that in at least one variable in the general health, mental health, health behaviors, and healthcare access/utilization domains, married lesbian and gay individuals reported the best health, followed by partnered, single, and then divorced, separated, and widowed lesbian and gay individuals (p < 0.001). Exceptions included variables in the physical health and health conditions domain, the health behaviors of smoking and heavy drinking, and ever having an HIV test. When stratifying by sex, for both gay men and lesbian women being married or partnered related to the best health in at least one variable in each health domain, and in the majority of all outcome variables. Conclusion: This article provides the first evidence for partnership-health associations among gay and lesbian individuals based on a large-scale, multi-domain test of population-level data. Future research could examine temporal links between same-sex marriage legislation and health outcomes among sexual minority individuals.
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