小児期の末期から成人期までの内定障害の発生率と持続度:コミュニティベースのコホートによる8年間の追跡分析
Sahâmia Martins Ribeiro1, Arthur Caye2, Caroline Fitzpatrick3
1Department of Psychiatry, Laboratory of Integrative Neuroscience (LiNC), Universidade Federal de São Paulo, São Paulo, Brazil; National Center for Innovation and Research in Mental Health (CISM), São Paulo, Brazil.
Journal of affective disorders
|August 29, 2025
まとめ
青春期の内定障害は 持続したり 後になって出現したりします 母親の精神的健康,女性の性別,子供の報告された症状は,これらの軌道を予測し,子供たちの必要性を強調します.
科学分野:
- 児童・青少年精神科
- 発達心理学
- 流行病学について
背景:
- 内部化障害は若年層に蔓延し 衰弱し 大人になるまで続くことが多いのです
- 様々な経路が存在しますが,分類的な結果と予測要因に関する人口ベースの研究は限られています.
研究 の 目的:
- コミュニティベースの若者サンプルで 内部化障害の経路を調べる
- 臨床的に重要な内定性障害の予測要因を特定する.
主な方法:
- 8年間のフォローアップ (6~14歳) で,地域社会ベースの長期コホート研究 (N=2247).
- 転覆しない経路に分類: 発生性,持続性,転移性,内部化障害なし
- DSM-IVは,発達と福祉の評価を用いた診断;予測分析のためのロジスティック回帰.
主要な成果:
- 13. 8% は初期に内化障害があり,35. 6% は持続し,64. 4% は寛解した.
- 25.8%が障害を発症した. 母親の内定障害,女性の性別,子供の報告された感情的な症状は,持続と発生を予測しました.
- 子供の虐待は 偶然の障害を予測するだけ
結論:
- 臨床的要因は 内部化障害の発生と維持の両方を予測します
- コミュニティの臨床ケアにおける子供の自己報告の評価の重要性を強調しています.
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