儿童精神分裂症和青少年精神障碍
Kirstie O'Hare1, Oliver Watkeys1, Kimberlie Dean1,2
1School of Clinical Medicine, Discipline of Psychiatry and Mental Health, University of New South Wales, Sydney, Australia.
Schizophrenia bulletin
|September 4, 2023
概括
童年精神分裂特征预测青少年精神障碍,其中"真正的精神分裂特征"显示出最强烈的关联. 这项研究强调了早期的精神分裂是青少年各种心理健康状况的重要危险因素.
科学领域:
- 发展心理学 发展心理学
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 精神分裂症为理解精神病障碍和识别有风险的个体提供了一个发展框架.
- 有限的前性纵向研究存在于儿童精神分裂型和以后的心理健康结果.
- 假设儿童精神分裂特征和青少年疾病之间的差异关联.
研究的目的:
- 为了前性地研究童年精神分裂特征和青少年精神障碍诊断之间的关系.
- 确定与各种精神障碍风险增加相关的特定精神分裂型特征.
主要方法:
- 利用了澳大利亚年轻人的大量人口队列 (n = 26,837).
- 在中年儿童期识别出以人为中心的精神分裂特征 (约. 11年) 的时间.
- 评估的青少年诊断 (大约. 13-18岁) 在7种精神障碍类型中使用多项逻辑回归.
主要成果:
- 属于三个儿童精神分裂特征 (真实,情感,内向) 的任何一个,都会增加青少年精神障碍诊断的可能性.
- "真正的精神分裂型"的个人资料显示出最强的关联 (aOR = 3.07),其次是"内向" (aOR = 1.94) 和"情感" (aOR = 1.29).
- 在7个测量青少年精神障碍中的6个,包括精神病障碍,与至少一个精神分裂型相关.
结论:
- 儿童精神分裂症是青少年精神障碍的重要相关因子.
- 童年时期的特定精神分裂特征与青少年一系列心理健康状况的风险增加有关.
- 儿童精神分裂症在这个青少年年龄组中并没有与精神病相关.
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