早期情绪和行为问题与儿童随后的精神障碍之间的关联 - - 瑞典队列研究的结果
Johanna Dahlén1, Anton Dahlberg1, Helena Fabian1
1Child Health and Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
PloS one
|January 7, 2026
概括
儿童早期的情绪和行为问题,通过强项和困难问卷 (SDQ) 确定,显著增加后续精神障碍的风险. 早期评估对于及时干预处于危险的年轻人至关重要.
科学领域:
- 儿童和青少年精神病学
- 发展心理学 发展心理学
- 公共卫生 公共卫生
背景情况:
- 儿童早期的情绪和行为问题是以后精神健康问题的已知的危险因素.
- 优势和困难问卷 (SDQ) 是评估这些问题的广泛使用的工具.
- 在瑞典等特定人群中了解这些关联对于有针对性的干预至关重要.
研究的目的:
- 通过SDQ测量,调查瑞典儿童早期情绪和行为问题与随后精神障碍的发展之间的联系.
- 评估 SDQ 成绩的预测价值,来自母亲,父亲和学前教师.
主要方法:
- 一项包含来自瑞典乌普萨拉地区的Focus研究中的6,646名3-5岁儿童的队列研究.
- 用SDQ评估情绪和行为问题,对母亲,父亲和教师的评分进行评估.
- 儿童从2013年至2022年进行了跟踪,并从国家患者登记册中获得了精神障碍诊断.
- 考克斯回归模型被用来分析早期问题与晚期诊断之间的关联.
主要成果:
- 根据母亲的评分,9.4%的孩子表现出情绪和行为问题,12.2%的孩子表现出父亲的评分,7.6%的孩子表现出教师的评分.
- 总体而言,9.2%的儿童在随访期间被诊断患有精神障碍.
- 患有早期问题儿童的精神障碍风险明显更高 (调整后HR值在2.66至3.66之间),不管是谁提供信息.
- 过度活动和注意力不足的困难与注意力缺陷过度活动障碍或行为障碍密切相关.
结论:
- 使用SDQ早期识别情绪和行为问题是瑞典儿童随后精神障碍的重要预测因素.
- 这些发现强调了早期查和儿童情绪和行为功能评估的关键作用.
- 通过强有力的早期识别策略,可以促进对有风险儿童的及时干预.
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