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儿科医生应该从婴儿期开始对儿童进行心理,情绪和行为 (MEB) 问题查. 早期查和干预对于解决年轻人中MEB疾病的上升率至关重要.

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科学领域:

  • 儿童医学
  • 儿童心理学
  • 公共卫生

背景情况:

  • 儿童精神,情绪和行为问题 (MEB) 正在增加,影响13-20%的儿童有障碍,19%的儿童有明显的痛苦.
  • 2015年以前的指导方针需要更新,以解决儿童当前的MEB需求.
  • 美国儿科学会 (AAP) 在儿科实践中强调心理健康能力.

研究的目的:

  • 为儿童初级保健中查,识别和管理MEB问题提供最新的指导.
  • 纳入有关MEB问题的流行和检测的最新数据.
  • 解决选的障碍,并提出系统层面的改变.

主要方法:

  • 纳入并扩展2019年和2015年的AAP政策声明.
  • 概述了从第一个月开始的产后抑郁症和6个月以儿童为中心的MEB问题查计划.
  • 建议在3岁后每年进行MEB查,并交替进行发育和自闭症查.

主要成果:

  • 对于产后抑郁症的查开始于1个月.
  • 儿童MEB查从6个月开始,并在12,24个月和36个月继续进行,然后每年在3岁后进行一次.
  • 报告审查了最新的流行,检测,管理策略和障碍.

结论:

  • 在儿童初级保健中,定期查MEB问题是必不可少的.
  • 早期发现和干预可以减轻MEB疾病对儿童的影响.
  • 解决障碍和实施系统变化将促进有效的选.