RESUMO
COVID-19 presents significant social, economic, and medical challenges. Because COVID-19 has already begun to precipitate huge increases in mental health problems, clinical psychological science must assert a leadership role in guiding a national response to this secondary crisis. In this article, COVID-19 is conceptualized as a unique, compounding, multidimensional stressor that will create a vast need for intervention and necessitate new paradigms for mental health service delivery and training. Urgent challenge areas across developmental periods are discussed, followed by a review of psychological symptoms that likely will increase in prevalence and require innovative solutions in both science and practice. Implications for new research directions, clinical approaches, and policy issues are discussed to highlight the opportunities for clinical psychological science to emerge as an updated, contemporary field capable of addressing the burden of mental illness and distress in the wake of COVID-19 and beyond. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Assuntos
Sintomas Comportamentais , COVID-19 , Atenção à Saúde , Transtornos Mentais , Serviços de Saúde Mental , Psicologia Clínica , Suicídio , Adolescente , Adulto , Idoso , Sintomas Comportamentais/etiologia , Sintomas Comportamentais/psicologia , Sintomas Comportamentais/terapia , Criança , Atenção à Saúde/organização & administração , Atenção à Saúde/normas , Atenção à Saúde/tendências , Humanos , Transtornos Mentais/etiologia , Transtornos Mentais/psicologia , Transtornos Mentais/terapia , Serviços de Saúde Mental/organização & administração , Serviços de Saúde Mental/normas , Serviços de Saúde Mental/tendências , Pessoa de Meia-Idade , Suicídio/psicologia , Adulto JovemRESUMO
In the current study, we tested for Gene × Environment interactions in the association between pubertal timing and adolescent depression by examining how socioeconomic factors might moderate age at menarche's relation with depressive symptoms. Participants comprised 630 female twin and sibling pairs from the National Longitudinal Study of Adolescent Health. Consistent with previous studies, results showed that genetic predispositions toward later menarche were associated with fewer depressive symptoms and that genetic predispositions toward earlier menarche were associated with more depressive symptoms. However, this pattern was subtle and evident only in girls from higher socioeconomic backgrounds. Although girls from lower socioeconomic families showed the highest overall levels of depression, their symptoms appeared unrelated to timing of physical development through either a genetic or an environmental path.
RESUMO
Youth who experience adverse environments in early life initiate sexual activity at a younger age, on average, than those from more advantaged circumstances. Evolutionary theorists have posited that ecological stress precipitates earlier reproductive and sexual onset, but it is unclear how stressful environments interact with genetic influences on age at first sex. Using a sample of 1,244 pairs of twins and non-twin full siblings from the National Longitudinal Study of Adolescent Health, the present study tested for gene-by-environment interactions (G × E) on age at first sex (AFS). Multivariate interaction models indicated that genetic influences on AFS were suppressed among low-socioeconomic-status (SES) and ethnic-minority compared with higher SES and ethnic-majority youth. Father absence did not uniquely moderate genetic influences on AFS. These results are broadly consistent with previous findings that genetic influences are minimized among individuals whose environments are characterized by elevated risk; however, future research would benefit from samples with larger numbers of individuals at the very low end of the SES spectrum.