服务使用作为儿童心理健康问题的变化预测器:一项前性队列研究
Maria Larsen Brattfjell1, Thomas Jozefiak1, Stian Lydersen1
1Department of Psychology (Brattfjell, Wichstrøm), Regional Centre for Child and Youth Mental Health and Child Welfare, Department of Mental Health (Jozefiak, Lydersen), Norwegian University of Science and Technology, Trondheim, Norway; Department of Child and Adolescent Psychiatry, St. Olav's Hospital, Trondheim, Norway (Wichstrøm).
Psychiatric services (Washington, D.C.)
|May 31, 2023
概括
通常对儿童心理健康的照顾并没有提高社会技能或减少障碍. 早期儿童的常规护理与以后更多的精神症状有关,突出了社区环境中基于证据的实践的需要.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 心理健康服务研究研究 心理健康服务研究
- 发展心理学 发展心理学
背景情况:
- 对于儿科精神健康的心理社会干预在研究和现实环境之间有很大差异.
- 研究结果对典型的临床实践的概括性仍然是一个挑战.
- 了解"常规护理"对儿童心理健康结果的影响,对于改善服务至关重要.
研究的目的:
- 调查接受常规护理与随后的精神症状,功能障碍和儿童的社会技能之间的关联.
- 为了比较接受常规护理的儿童与没有服务的儿童的结果.
- 分析常规护理对儿童心理健康轨迹的长期影响.
主要方法:
- 利用了996名儿童 (2003-2004年出生队列,挪威特伦海姆) 的数据,每两年评估一次,从4岁到14岁.
- 采用随机拦截,交叉滞后的面板模型与倾向评分相结合.
- 对测量时间变化和未测量时间不变的混因子进行控制,以确保可靠的分析.
主要成果:
- 常规护理与社会技能变化或与心理健康问题相关的损伤没有关联.
- 对7至12岁儿童的通常护理没有预测精神疾病症状数量的变化.
- 在0-4岁和5-6岁时获得的通常护理与两年后精神症状略有增加有关.
结论:
- 观察数据表明,通常的护理并不能始终改善儿童心理健康结果.
- 有必要将基于证据的干预措施纳入常规临床实践.
- 为社区和专科护理中的复杂病例开发基于证据的方法至关重要.
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