跨越精神病诊断对儿童和青少年体质并发症的新见解:一项探索性研究
Jet B Muskens1,2,3, Wietske A Ester4,5,6, Helen Klip7
1Karakter Child and Adolescent Psychiatry University Centre Nijmegen, Nijmegen, The Netherlands. j.muskens@karakter.com.
Child psychiatry and human development
|September 1, 2023
概括
许多患有精神障碍的儿童都有共同的身体问题,如饮食问题和失眠. 维生素D3缺乏症很普遍,影响了儿科患者的长期健康结果.
科学领域:
- 儿童和青少年精神病学
- 儿科健康 儿科健康
- 临床心理学 临床心理学
背景情况:
- 身体症状在患有精神疾病的儿童中很常见,但经常被忽视.
- 早期的身体发病率会对长期健康状况产生负面影响.
- 在儿科患者群体中,对同时进行精神病学和体质评估的研究有限.
研究的目的:
- 在患有精神疾病的儿童和青少年的临床样本中评估体质并发症的患病率.
- 在自然主义的环境中研究精神疾病和常见的身体问题之间的关系.
- 突出儿童精神病治疗中常规体质评估的重要性.
主要方法:
- 对276名患有各种精神疾病的儿童 (年龄在6-18岁) 的横截面研究.
- 通过包括体检在内的常规临床评估收集的数据.
- 亚样本 (n=97) 接受了维生素D3,脂质,葡萄糖和益生菌的血液检测.
主要成果:
- 食物摄入问题 (43%) 和失眠 (66%) 的高患病率.
- 显著的超重率 (20%),肥胖率 (12%) 和轻微的身体异常 (38%).
- 在73%的亚样本中发现维生素D3缺乏 (<50nmol/L).
结论:
- 关键的体质并发症包括食物摄入问题 (肥胖,维生素D3缺乏) 和睡眠问题 (失眠).
- 性别,年龄,药物或社会经济因素对体质并发症患病率没有显著的贡献.
- 儿童和青少年精神病学家应定期评估体质并发症,并促进健康的生活方式.
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