开发一个简短的评估工具,以识别可能患有焦虑障碍的儿童
Tessa Reardon1, Obioha C Ukoumunne2, Susan Ball2
1Departments of Experimental Psychology and Psychiatry University of Oxford UK.
JCPP advances
|June 16, 2025
概括
一个简短的家长报告问卷有效地识别了8-11岁儿童的焦虑障碍. 这种工具增强了早期检测和支持社区环境中的儿科焦虑.
科学领域:
- 儿童和青少年精神病学
- 临床心理学 临床心理学
- 发展心理学 发展心理学
背景情况:
- 在小学儿童中识别焦虑障碍是具有挑战性的,延迟了关键的支持.
- 目前的诊断方法可能不适合社区环境.
- 早期识别是有效干预儿科焦虑的关键.
研究的目的:
- 开发一个简短的评估工具,用于识别小学龄儿童的焦虑障碍.
- 在社区环境中实现高灵敏度和特异性.
- 促进焦虑儿童及时获得支持和干预.
主要方法:
- 儿童 (8-11岁),家长和教师填写了评估焦虑症状和影响的问卷项目.
- 诊断评估 (儿童焦虑障碍面试时间表) 用于确认诊断.
- 使用统计分析,包括探索性因子分析和物流回归来选择最佳项目.
主要成果:
- 包含2-9项的家长报告问卷显示了可接受的灵敏度和特异性 (≥75%) 来识别焦虑障碍.
- 儿童和教师报告的测量没有达到可接受的诊断准确性.
- 一个由两个项目组成的家长报告测量,评估痛苦和损伤,显示出有希望.
结论:
- 一个简短的,两项的家长报告措施可以有效地识别患有焦虑症的孩子.
- 该工具为社区查提供了一个实用的解决方案.
- 改进的识别可以导致更早的干预,并为儿童的心理健康带来更好的结果.
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