挪威青少年的不同创伤类别与心理健康护理利用之间的关联:国家注册研究
Annika Skandsen1,2, Sondre Aasen Nilsen3, Mari Hysing4,3
1Department of Psychosocial Science, Faculty of Psychology, University of Bergen, Bergen, Norway. annika.skandsen@uib.no.
Child psychiatry and human development
|February 9, 2024
概括
暴露于潜在创伤经历 (PTE) 模式的青少年面临更高的风险心理健康服务联系和精神病诊断. 识别这些创伤类对于理解青少年精神病理学至关重要.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 青少年心理学 青少年心理学
- 公共卫生 公共卫生
背景情况:
- 经历潜在创伤性经历 (PTE) 的青少年表现出心理病理风险增加.
- PTE经常同时发生,形成复杂的暴露模式.
研究的目的:
- 在挪威青少年中确定PTE暴露模式的不同类别.
- 调查这些PTE类与与儿童和青少年心理健康服务 (CAMHS) 和精神病诊断的接触之间的联系.
主要方法:
- 利用了基于人口的青年@hordaland研究 (n=8845) 的数据,与挪威患者登记处联系在一起.
- 雇佣潜伏类分析以确定PTE暴露模式.
- 进行了后勤回归来分析PTE类与CAMHS接触/诊断之间的关联.
主要成果:
- 确定了三种不同的PTE暴露类别:低创伤 (88%),情境创伤 (6%) 和人际创伤 (6%).
- 与低创伤类相比,处境和人际创伤类的参与者显示CAMHS接触和精神病诊断的几率明显更高.
- 与情境创伤类相比,人际创伤类的ADHD诊断的几率更高.
结论:
- 截然不同的PTE暴露模式与青少年CAMHS接触和精神病诊断的可能性增加有关.
- 这些发现强调了精神病诊断谱中同时发生的PTE的影响.
- 这些确定的创伤课程为有针对性的干预和对有风险的青少年的支持提供了有价值的见解.
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