在低资源环境中,全科医生检测儿童的心理健康问题
Vandad Sharifi1, Ramin Mojtabai2, Zahra Shahrivar1
1Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran.
一般医生 (GPs) 正确识别了56.1%的可能患有心理健康问题的儿童. 诸如较高的症状分数和父母心理健康等因素影响了准确的检测,突出了全科医生的培训需求.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 一般的做法一般的做法
- 心理健康服务研究 心理健康服务研究
背景情况:
- 通过全科医生准确识别儿童的心理健康问题,对于及时干预至关重要.
- 现有研究表明,小儿精神健康状况的GP检测率存在变化.
研究的目的:
- 评估全科医生在识别可能患有精神健康问题的儿童方面的准确性.
- 确定与GP儿童心理健康问题检测准确性相关的因素.
主要方法:
- 从40个GP实践中对1051名儿童 (5-15岁) 和他们的父母的基线数据进行二次分析.
- 强项和困难问卷 (SDQ) 定义的可能的心理健康问题;GP的评估是独立于SDQ的结果.
- 使用多级回归分析来确定与正确检测相关的因素.
主要成果:
- 全科医生在29.7%的儿童中发现了心理健康问题,而SDQ显示35.3%的患病率.
- 全科医生正确识别了56.1%的可能患有心理健康问题的儿童,缺少43.9%.
- 正确的识别与更高的SDQ分数 (总,情绪,多动),父母心理健康和以前的服务使用有关.
结论:
- 一般医生在识别儿童可能出现的心理健康问题时表现出中度的准确性.
- 总医生的培训应专注于改善检测不那么明显或严重的心理健康问题.
- 家长的心理健康和以前的服务使用是GP检测准确性的重要指标.
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