在有或没有ADHD症状的儿童中,从3岁到8岁的焦虑和抑郁症
Christine Baalsrud Ingeborgrud1, Beate Oerbeck2, Svein Friis3,2
1Institute of Clinical Medicine, Division of Mental Health and Addiction, Child and Adolescent Psychiatry Unit, University of Oslo, Pb 1039 Blindern, 0315, Oslo, Norway. c.b.ingeborgrud@medisin.uio.no.
Scientific reports
|September 16, 2023
概括
儿童早期的焦虑和抑郁症状,即使没有注意力缺陷/多动障碍 (ADHD),也预测了以后的焦虑障碍和抑郁症. 识别儿童的这些早期症状对于及时干预至关重要.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 发展心理学 发展心理学
- 行为儿科 行为儿科
背景情况:
- 童年焦虑和抑郁症状是一个很大的问题.
- 注意缺陷/多动障碍 (ADHD) 可能会影响焦虑和抑郁的发展.
- 纵向研究对于理解发育轨迹至关重要.
研究的目的:
- 调查家长和教师报告的3岁儿童焦虑,抑郁和多动症的症状是否预测8岁时的焦虑障碍和/或抑郁症.
- 检查这些预测在有或没有ADHD的儿童.
主要方法:
- 长度,以人口为基础的研究 (挪威母亲,父亲和儿童队列研究).
- 通过家长采访和老师对3岁症状的评分收集的数据.
- 在8岁时评估的焦虑症/抑郁症和多动症的诊断标准,使用儿童症状目录-4.
- 进行了单变量和多变量逻辑回归分析.
主要成果:
- 父母报告的焦虑,抑郁和ADHD症状,以及老师报告的3岁焦虑症状显著预测了随后的焦虑障碍和/或抑郁症 (Anx/Dep).
- 在多变量分析中,3岁时家长报告的焦虑和抑郁症状仍然是8岁时焦虑/抑郁症的重要预测因素,无论ADHD状态如何.
- 早期的焦虑和抑郁症状是后来的焦虑/抑郁症的关键风险因素.
结论:
- 家长报告的焦虑和抑郁症状,和老师报告的焦虑症状在3岁是重要的指标,以确定儿童有风险的学校年龄焦虑障碍和/或抑郁症.
- 这些发现不管ADHD症状是否存在,都是正确的.
- 早期识别和干预策略应考虑这些早期行为指标.
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