患有身体疾病的年轻人中精神病理学的轨迹
Megan Dol1, Dillon Browne2, Christopher M Perlman3
1School of Public Health Sciences, University of Waterloo, 200 University Avenue West, Waterloo, ON, N2L 3G1, 905-717-8761, Canada. m2dol@uwaterloo.ca.
Child psychiatry and human development
|April 1, 2025
概括
这项研究在患有慢性身体疾病 (CPI) 的年轻人中确定了三个精神病理轨迹,其中年龄较大,残疾较高,父母痛苦和收入预测较高的轨迹. 早期识别患有CPI风险的年轻人至关重要.
科学领域:
- 儿科心理学 儿科心理学
- 儿童精神病学 儿童精神病学
- 纵向健康研究 纵向健康研究
背景情况:
- 患有慢性身体疾病 (CPI) 的年轻人面临着影响心理健康的独特挑战.
- 了解心理病理轨迹对于在这个人群中进行有针对性的干预至关重要.
- 以前的研究还没有完全阐明长期的精神病理模式和与CPI相关的年轻人的风险因素.
研究的目的:
- 对于具有CPI的年轻人来说,描述24个月的精神病理轨迹.
- 在这个群体中验证不同的精神病理学群体.
- 确定与这些轨迹相关的青年,家长,家庭和社区因素.
主要方法:
- 在加拿大的263名年轻人 (2-16岁) 与CPI及其父母进行了长度研究.
- 在基线,6,12和24个月使用家长报告的情绪行为尺度收集的数据.
- 隐性类增长分析确定了轨迹;多项逻辑回归检查了预测因素.
主要成果:
- 确定了三个精神病理轨迹:低稳定 (58%),中度下降 (34%) 和高下降 (8%).
- 高龄,较高的残疾分数,父母的心理困扰和较高的家庭收入预测了更高的精神病理轨迹中的成员.
- 虽然整体精神病理水平较低,但超过三分之一的人表现出边缘临床症状.
结论:
- 在CPI的年轻人中存在不同的精神病理轨迹,受多种因素的影响.
- 识别预测因素可以帮助早期检测患有CPI的青少年有心理病理风险.
- 这项研究强调了在儿科慢性疾病护理中需要综合心理健康支持的需要.
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