评估中国儿童和青少年强迫症的CBCL-OCS诊断有效性
Rongkun Su1, Xu Hong2, Hanxue Yang3
1Shenyang Mental Health Center, Mental Health Management Center, Shenyang, China.
BMC psychiatry
|April 11, 2025
概括
这项研究验证了儿童行为检查清单-强迫症测量表 (CBCL-OCS) 对中国青年早期强迫症查的有效性. CBCL-OCS显示出良好的准确性,有助于识别需要进一步评估强迫症的儿童和青少年.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 精神卫生流行病学 精神卫生流行病学
- 心理测量验证 心理测量验证
背景情况:
- 强迫性障碍 (OCD) 是儿童和青少年在全球面临的一个重大心理健康问题.
- 早期诊断和干预对于有效的强迫症治疗和改善结果至关重要.
- 诊断工具的文化适应对于在不同人群中进行准确的评估至关重要.
研究的目的:
- 评估中国儿童和青少年的儿童行为检查清单-强迫性强迫度表 (CBCL-OCS) 的诊断有效性和文化适应性.
- 为了确定这个人群中强迫症的患病率,症状严重程度和常见的并发症.
- 为有效的强迫症查,为CBCL-OCS建立最佳切断分数.
主要方法:
- 一项涉及中国宁省8595名中学生的横截面流行病学调查.
- 使用CBCL-OCS作为强迫症症状的主要查仪器.
- 用户接收器运行特征 (ROC) 曲线分析以确定最佳选截止值.
主要成果:
- 确定强迫症的患病率为1.710%,与全球估计相一致.
- 建立了2.5的最佳CBCL-OCS截止分数,具有高灵敏度 (0.789) 和特异性 (0.899).
- 观察到随着年龄的增长,强迫症的严重程度增加,并与并发性情绪障碍,行为问题和焦虑有显著的关联.
结论:
- CBCL-OCS是中国中学学生早期强迫症查的有效和文化适应性工具.
- 这些发现提供了关于中国儿童和青少年强迫症的关键流行病学数据.
- 强调需要及时,有针对性的干预措施,特别是在青春期,以解决强迫症.
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