Les symptômes anxieux prédisent des symptômes dépressifs ultérieurs chez les jeunes neurodivergents : une étude longitudinale sur 10 ans
Titre original en anglais : Anxiety Symptoms Predict Subsequent Depressive Symptoms in Neurodivergent Youth: A 10-Year Longitudinal Study
Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.
À propos de la mention auteur·ice autisteOrm, S., Wood, J., Fossum, I. N., Adams, K., Andersen, P. N., Fjermestad, K., Øie, M. G., & Skogli, E. W. (2025). Anxiety Symptoms Predict Subsequent Depressive Symptoms in Neurodivergent Youth: A 10-Year Longitudinal Study. Research on Child and Adolescent Psychopathology, 53(3), 429-441. https://doi.org/10.1007/s10802-025-01292-3
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Résumé
Résumé Les jeunes neurodivergents présentent souvent des symptômes anxieux et dépressifs susceptibles d'entraver le fonctionnement adaptatif et le bien-être. On sait peu de choses sur la manière dont l'anxiété et la dépression sont liées chez les jeunes neurodivergents. Nous avons donc cherché à examiner si la relation entre les symptômes anxieux et dépressifs est unidirectionnelle ou bidirectionnelle chez les jeunes neurodivers. Nous avons évalué au fil du temps les symptômes anxieux et dépressifs autoévalués chez 173 jeunes (âge moyen initial = 11,7 ans, ET = 2,1, 64 % de garçons, 36 % de filles). L'échantillon comprenait 38 jeunes autistes, 85 jeunes ayant reçu un diagnostic de trouble du déficit de l'attention avec hyperactivité (TDAH) et 50 jeunes du groupe de comparaison, évalués au départ (T1), lors du suivi à 2 ans (T2, rétention de 97 %) et lors du suivi à 10 ans (T3, rétention de 73 %). Nous avons utilisé des modèles à décalage croisé pour analyser les données. Chez les jeunes neurodivergents, davantage de symptômes anxieux à T1 et T2 prédisaient davantage de symptômes dépressifs à T2 et T3. Les symptômes anxieux antérieurs étaient associés à des symptômes dépressifs ultérieurs, même après prise en compte des effets autorégressifs des symptômes dépressifs. Les résultats sont cohérents avec un modèle prodromique selon lequel les symptômes anxieux peuvent, indépendamment, présager l'émergence de symptômes dépressifs au cours du développement chez les jeunes neurodivergents. Potentiellement, la prise en charge des symptômes anxieux chez les jeunes autistes ou atteints de TDAH pourrait jouer un rôle dans la prévention de l'apparition de la dépression chez les jeunes.
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