促进最佳发展:心理健康,情绪和行为问题的查:临床报告
Carol Weitzman1, James Guevara2, Michelle Curtin3
1Department of Pediatrics, Harvard Medical School, Division of Developmental Medicine, Boston Children's Hospital, Boston, Massachusetts.
Pediatrics
|August 24, 2025
概括
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.
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.
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