低收入年幼儿童的行为问题在儿科初级保健中进行查
Robert T Ammerman1,2, Constance A Mara1,2, Chidiogo Anyigbo2,3
1Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
儿科初级保健查可以识别有行为问题的幼儿. 优先考虑患有抑郁症和社会需求的护理人员,有助于早期干预,以改善社会情感发展.
科学领域:
- 儿童心理学 儿童心理学
- 发育儿科 发育儿科
- 公共卫生 公共卫生
背景情况:
- 对幼儿行为问题的查对于及时干预至关重要.
- 识别不同的行为问题轨迹有助于定制预防和治疗策略.
研究的目的:
- 确定2至6岁儿童行为问题的轨迹.
- 检查这些轨迹的人口和临床相关性.
主要方法:
- 对15218名2-6岁儿童进行了回顾性队列研究,这些儿童接受了儿科初级保健.
- 潜增长混合建模的优势和困难问卷 (SDQ) 成绩.
- 多项式逻辑回归用于评估相关性.
主要成果:
- 确定了四种行为问题轨迹:低稳定,中度下降,低增长和高增长.
- 男性性别,白人种族,公共保险,社会需求和照顾者抑郁症与升高的轨迹有关.
- 在高增长轨迹的儿童更有可能是男性,白人,有社会需求,并且有抑郁症的照顾者.
结论:
- 显著比例的幼儿表现出增加的行为问题,强调了儿童初级保健查的必要性.
- 早期预防和治疗应优先考虑患有抑郁症的照顾者和那些有社会需求的儿童,以改善发育轨迹.
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