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前街头工作男孩的精神障碍
Nezar Ismet Taib1, Hans Arinell2,3, Caisa Öster3
1Department of Medical Sciences, Child and Adolescent Psychiatry, Uppsala University Hospital, 751 85, Uppsala, Sweden. nezar.tahib@neuro.uu.se.
European child & adolescent psychiatry
|August 19, 2023
概括
在街头工作的男孩中,精神障碍从童年到成年持续存在,焦虑障碍出现复发. 童年障碍的数量预测了成年人的心理健康结果,而不是创伤或其他风险因素.
科学领域:
- 儿童和青少年精神病学
- 发展心理学 发展心理学
- 全球心理健康全球心理健康
背景情况:
- 在街上工作的儿童中,精神障碍的连续性尚未得到充分研究.
- 街头工作的儿童面临着重大的心理健康挑战.
- 这种人群中精神障碍轨迹的纵向数据很少.
研究的目的:
- 调查街头男孩从童年到成年期精神障碍的同型和异型连续性.
- 在两个时间点评估精神障碍的患病率和并发病率.
- 为了确定成人精神障碍状态的预测因素.
主要方法:
- 伊拉克杜霍克市40名街头工男孩的纵向研究.
- 在童年 (平均年龄12.1岁) 和成年 (平均年龄29.7岁) 进行的结构化诊断访谈.
- 评估精神障碍,并发症,童年创伤和心理社会风险因素.
主要成果:
- 精神疾病在基线 (60%) 和随访 (70%) 的高患病率.
- 伴随性疾病从童年到成年期显著增加.
- 焦虑障碍显示同型连续性;抑郁障碍增加,外部化障碍减少.
- 童年精神障碍的数量预测了成人精神障碍的数量,独立于创伤或其他风险因素.
结论:
- 精神障碍是持久的,在街上工作的男性中常常是并发症.
- 儿童精神障碍负担是成人心理健康的关键预测因素.
- 需要对更大,更多样化的样本进行进一步的研究,以了解性别差异和风险因素.
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