在青春期前和后期的功能性体征症状的婴儿预测因素:一个纵向队列研究
Lina Münker1,2,3, Martin Køster Rimvall4,5, Lisbeth Frostholm6,7
1Department of Child and Adolescent Psychiatry, Aarhus University Hospital Psychiatry, Palle Juul-Jensens Boulevard 175, 8200, Aarhus N, Denmark. linamu@rm.dk.
European journal of pediatrics
|December 2, 2024
概括
婴儿生理调节问题预测了青春期前的功能性体征症状 (FSS). 这些早期的监管问题可能是失调的压力系统的信号,建议针对婴儿进行针对性干预,以预防FSS.
科学领域:
- 儿童心理学 儿童心理学
- 发育儿科 发育儿科
- 行为科学 行为科学
背景情况:
- 功能性体征症状 (FSS) 在青春期普遍存在,并与多因素病因相关.
- 婴儿生理调节问题,包括睡眠,食和触觉反应问题,可能表明压力系统的早期失调.
- 以前的研究已经将婴儿监管问题与学龄前儿童的FSS联系起来.
研究的目的:
- 检查婴儿期因素 (生理调节,情绪失调,接触问题) 与青春期前后期FSS之间的关联.
- 通过调查这些关联超出幼儿时期,扩展先前的发现.
主要方法:
- 利用基于人口的哥本哈根儿童队列 (CCC2000) 的数据,对0-1,11-12和16-17岁的评估进行了评估.
- 雇员进行标准化的行为评估和自我报告问卷.
- 将队列数据与有关母亲产后精神疾病和家庭逆境的丹麦登记数据进行联系,以进行共变量分析.
- 进行了多次线性回归分析,以评估婴儿期因素和青少年FSS之间的关联.
主要成果:
- 婴儿生理调节问题显著预测了青春期前的FSS (b=0.38,95% CI [0.14,0.62]).
- 这种关联即使考虑到母亲产后精神疾病和家庭逆境,仍然很重要.
- 婴儿期生理调节问题和FSS之间的预测关联在青春晚期减弱.
结论:
- 婴儿生理调节问题可能是发展失调压力系统的早期指标.
- 这些早期的监管困难是青春期前FSS的重要预测因素,但不是青春期后期.
- 专注于增强婴儿睡眠,食和触觉反应的调节的干预措施可能对早期FSS预防有益.
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