在纵向研究中,优化自我或父母报告的精神病现象
Franjo Ivankovic1,2,3,4,5, Sharon Johnson5, James Shen5
1Analytic and Translational Genetics Unit, Massachusetts General Hospital, Boston, MA, USA.
Journal of child psychology and psychiatry, and allied disciplines
|September 9, 2024
概括
在青少年大脑认知发展 (ABCD) 研究中,父母和儿童报告高估了精神疾病的患病率. 使用纵向数据的更狭窄的诊断构造,更好地近似青少年心理健康研究的现实率.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
背景情况:
- 青少年大脑认知发展 (ABCD) 研究收集了来自美国青少年的广泛的精神病学,神经成像和遗传数据.
- 在ABCD研究中精神病学数据的可靠性和有效性需要检查,以了解精神病.
研究的目的:
- 在ABCD研究中探索和优化精神病诊断结构的可靠性和有效性.
- 评估父母和儿童报告的精神病学数据的准确性.
主要方法:
- 检查了家长和儿童报告的4年内11,876名儿童的精神病学数据.
- 使用纵向信息为精神病诊断推导出特定的构造.
- 计算了疾病的发生率,并将其与流行病学文献进行了比较.
主要成果:
- 广泛的诊断结构 (单一时间点) 显示出比流行病学研究更高的流行率.
- 狭窄的诊断构造 (大多数评估) 对大多数疾病的文献报告的患病率进行了更好的近似 (例如,强迫症:2.6%与2.3%).
- 狭窄的构造也改善了文献报告的并发症率的近似度.
结论:
- 在ABCD研究中的自我或家长报告数据倾向于高估精神疾病患病率,特别是终身患病率.
- 准确的疾病分类需要通过深入的评估或临床医生进行的采访来补充自我/家长的报告.
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