儿童焦虑问题的多方面的后果和经济成本:系统性审查和元分析
Jack Pollard1, Tessa Reardon2, Chloe Williams2
1Health Economics Research Centre Nuffield Department of Population Health University of Oxford Oxford UK.
JCPP advances
|September 18, 2023
概括
儿童焦虑与许多负面结果和重大经济成本有关. 早期干预对于减轻对个人和社会的长期影响至关重要.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 焦虑症在一生中影响超过四分之一的人,通常从童年或青春期开始.
- 现有的研究对儿童焦虑的长期后果和经济负担存在差距.
- 了解这些影响对于开发有效的支持系统至关重要.
研究的目的:
- 系统地审查关于儿童焦虑相关结果和成本的纵向和经济研究.
- 综合个人,家庭和社会层面影响的证据.
- 确定需要进一步经济研究的领域.
主要方法:
- 对四个数据库 (Medline,PsycINFO,EconLit,NHS经济评估数据库) 进行了系统审查.
- 包括长度和经济研究,将童年焦虑与结果联系在一起.
- 用叙事综合和元分析来分析数据.
主要成果:
- 综合了83项研究,揭示了童年焦虑与未来焦虑,情绪,行为和物质使用障碍之间的联系.
- 焦虑问题与不良的身体健康,自我伤害,饮食障碍,关系困难以及较差的教育和就业结果有关.
- 对儿童,家庭,医疗保健系统和社会来说,确定了重大的经济成本,每年每名儿童的社会成本高达4040英.
结论:
- 童年焦虑与广泛的负面结果和巨大的经济成本有关.
- 显然需要具有成本效益的干预措施和政策来解决儿童焦虑.
- 需要进一步的经济研究才能充分了解长期后果.
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