监管问题和发育性精神病理在生命的前2年-a嵌入队列基于人口的研究研究
Janni Ammitzbøll1,2, Anne Lise Olsen3, Susanne Landorph2
1National Institute of Public Health, Faculty of Health Sciences, University of Southern Denmark, Copenhagen, Denmark.
Frontiers in child and adolescent psychiatry
|January 22, 2025
概括
睡眠,食和情绪调节方面的婴儿调节问题 (RP) 与儿童精神健康障碍的风险更高有关. 早期识别和干预对于脆弱的婴儿来说至关重要,以防止长期的精神病理.
科学领域:
- 儿童心理学 儿童心理学
- 发展性精神病学是一个发展性精神病学.
- 婴儿心理健康 婴儿心理健康
背景情况:
- 婴儿时期的调节问题 (RP),包括睡眠,食和过度哭泣,被怀疑是儿童精神病理学的贡献者.
- 对于这些监管问题的早期发展轨迹的理解有限.
研究的目的:
- 为了调查8-11个月龄的婴儿的监管问题 (RP).
- 检查婴儿RP与1.5岁时的心理健康问题之间的关联.
- 评估母亲心理健康和关系问题对这些协会的影响.
主要方法:
- 从一个社区基队伍中抽取了416名婴儿的嵌套样本,共计2,973.
- 婴儿被社区卫生护士查RP.
- 在1.5年的诊断评估中使用了ICD-10和DC:0-3R标准,并进行了后勤回归和调解分析.
主要成果:
- 婴儿睡眠RP与睡眠障碍 (OR 9.3) 和行为/情绪障碍 (OR 2.9) 的风险增加2倍相关.
- 食/食用RP与整体精神障碍 (OR 1.4) 和食障碍 (OR 6.0) 的更高风险有关.
- 情绪调节RP显示了与增加行为/情绪障碍 (OR 2.2) 和关系障碍 (OR 1.8) 风险的关联. 母亲因素介导了这些影响的0-48%.
结论:
- 婴儿时期 (8-11个月) 的调节问题预测ICD-10和DC:0-3R疾病的风险增加1.5年.
- 这些发现确定了一个脆弱的婴儿群体,需要早期的预防性干预来缓解心理病理的发展.
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