具有自我伤害思想和行为的未成年人的情绪和行为问题概况:一项多元文化研究
Lynsay Ayer1, Elie Ohana1, Masha Y Ivanova2
1RAND Corporation, Arlington, Virginia.
Journal of the American Academy of Child and Adolescent Psychiatry
|January 27, 2024
概括
大多数经历自我伤害思想和行为 (SITB) 的青春期前儿童几乎没有其他心理健康问题. 对SITB进行普遍查至关重要,因为只关注那些存在问题的人可能会错过许多受影响的年轻人.
科学领域:
- 儿童和青少年精神病学
- 发展心理学 发展心理学
- 心理健康研究 心理健康研究
背景情况:
- 自伤的想法和行为 (SITB) 是一个越来越多的关注在青春期前的人口.
- 识别不同的情绪和行为特征是有效预防和治疗目标的关键.
研究的目的:
- 确定经验上得出的SITB经历的青少年前期的情绪和行为问题概况.
- 确定这些个人资料是否因年龄,性别和社会背景而有所不同.
主要方法:
- 隐形形状分析 (LPA) 根据儿童行为检查清单 (CBCL/6-18) 的数据对1656名6-12岁儿童进行了SITB.
- 数据来自世界各地42个社会46,719名儿童的照顾者.
- 多级建模分析了基于SITB,社会,性别和年龄的个人资料差异.
主要成果:
- 一个四个配置模型出现了:低问题 (39.7%),轻度问题 (42.6%),中度问题 (15.4%),和违规/思想问题 (2.3%).
- 低问题概况与没有SITB的儿童相似.
- 违规/思想问题组,主要是女性,表现出自杀想法和自伤行为的可能性最高,而其他组主要是男性.
结论:
- 十几岁前的SITB个人资料是多样化的,大多数人表现出其他精神病理的低水平.
- 仅基于现有的心理健康状况 (例如,抑郁症) 的查可能会忽视许多患有SITB的儿童.
- 这凸显了在青春期前儿童中对SITB进行普遍查的必要性.
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