行为问题和过度活跃/不注意的共同发展轨迹:组成员的先例风险标志物
Hannah Mercedes Araminta Ross1, Lisa-Christine Girard2
1Lancaster University, Lancaster, UK. h.ross@lancaster.ac.uk.
Child psychiatry and human development
|November 2, 2023
概括
这项研究确定了六个儿童行为问题 (CP) 和过度活跃/不注意 (HI) 的儿童轨迹. 针对多种风险因素的早期干预措施建议用于资源较少的家庭.
科学领域:
- 发展心理学 发展心理学
- 儿童精神病学 儿童精神病学
- 行为科学 行为科学
背景情况:
- 儿童行为问题 (CP) 和过度活动/注意力缺失 (HI) 是一个重大问题.
- 了解它们的发育轨迹对于有效的干预至关重要.
- 之前的研究已经分别或有限的轨迹分析探索了这些问题.
研究的目的:
- 调查CP和HI从三岁到九岁的联合发育轨迹.
- 根据他们的CP和HI模式来识别不同的儿童群体.
- 检查与这些轨迹相关的风险和保护因素.
主要方法:
- 一组7507名爱尔兰儿童从婴儿期到9岁被跟踪.
- 父母报告的优势和困难问卷数据用于CP和HI.
- 使用基于组的多轨迹建模来确定发展途径.
主要成果:
- 确定了六种不同的轨迹:没有CP/低HI,低稳定的CP/HI,低下降的CP/稳定的HI,停止同时发生的CP/HI,纯增长的HI和高慢性同时发生的CP/HI.
- 风险因素包括男性性别,分娩并发症,性格困难,护理人员教育水平较低,护理人员压力较高,产前吸烟和社会经济地位较低.
- 保护因素包括积极的照顾者-孩子联系和有兄弟姐妹.
结论:
- "纯粹的"过度活跃/疏忽和同时出现的行为问题/过度活跃/疏忽轨迹都在儿童早期出现.
- 没有支持"纯粹"的行为问题轨迹,这表明在持续的行为问题中可能存在同时发生的过度活跃/不注意.
- 建议在资源有限的家庭中提前针对多种风险标志物进行有针对性的干预.
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