患有慢性身体疾病的儿童的P因子
Mark A Ferro1, Christy K Y Chan1
1School of Public Health Sciences, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, N2L 3G1, Canada.
Journal of psychosomatic research
|July 26, 2024
概括
这项研究模拟了患有慢性身体疾病 (CPI) 的儿童的p因子,这是精神疾病的一般责任. 结果显示了p因子.
科学领域:
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
- 儿科 儿科 儿科
背景情况:
- 代表精神疾病的一般责任的p因子,在成年人中已经很成熟.
- 对儿童p因子的研究是有限的,没有研究在患有慢性身体疾病 (CPI) 的儿童中检查它.
- 了解患有CPI的儿科人群中的p因子对于解决精神健康并发症至关重要.
研究的目的:
- 在一个具有CPI的儿童纵向样本中建模p因子.
- 通过使用家长报告的数据与结构化诊断面试来评估p因子的构造有效性.
- 调查p因子与CPI儿童精神疾病诊断之间的关系.
主要方法:
- 利用了来自MY LIFE研究的263名儿童 (2-16岁) 的CPI数据.
- 在24个月的时间内,通过确认因素分析,使用情绪行为量表建模了p因子.
- 验证了p因子与儿童和青少年迷你国际神经精神病学面试.
主要成果:
- 与标准的相关因子模型相比,双因素结构为p因子提供了更好的适应性.
- P因子得分与不同精神疾病诊断数量 (r=0.71) 和总诊断数量 (r=0.72) 有显著的相关性.
- 证明了p因子和精神疾病诊断人数之间的剂量反应关系 (p < 0.001).
结论:
- 这项研究提供了第一个证据,证明p因子在CPI儿童中的双因子结构.
- p因子与CPI儿童的精神疾病诊断有关,突出显示了普遍的并发症.
- 建议采用跨诊断方法来为患有CPI和精神伴随性疾病的儿童提供综合儿科护理.
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