儿童精神病症状,认知和症状严重程度
Adam Pines1, Leonardo Tozzi1, Claire Bertrand1
1Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California.
JAMA psychiatry
|August 28, 2024
概括
儿童的认知能力和心理健康症状显示出一种复杂的,非线性关系. 内化症状与低严重程度的更高的认知有关,但高严重程度的认知较低,协调了之前的混合发现.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 神经科学是一个神经科学.
- 发展心理学 发展心理学
背景情况:
- 精神疾病是全球残疾的主要原因,通常与认知障碍有关.
- 以前的研究表明,认知和精神症状之间存在矛盾的关联.
研究的目的:
- 调查一般认知和心理健康症状之间的关系是否根据儿童的症状严重程度而有所不同.
- 为了协调现有文献中混合的发现.
主要方法:
- 在青少年大脑和认知发展 (ABCD) 研究中利用了来自5175名儿童 (9-11岁) 的数据.
- 采用多项式和通用添加模型来分析不同严重程度的一般认知和心理健康症状之间的关联.
- 对儿童行为检查清单数据进行了两年的认知评分评估.
主要成果:
- 心理健康症状与一般认知之间的关联是非线性的.
- 内化症状与低严重程度的认知有积极的关联 (更高的认知=更多的症状).
- 内化症状在高严重程度的认知表现出了负面的关联.
结论:
- 这项研究通过证明认知和心理健康症状之间的非线性关系来协调相互矛盾的发现.
- 认知和症状之间的关联取决于症状的严重程度,在低水平时是积极的,在高水平时是消极的.
- 临床丰富对于研究由于这些严重程度依赖的关联而导致的认知障碍至关重要.
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