在寄养家庭青少年群体中精神疾病的患病率
Neemah Koroma1, Tia Tyson1, Nima Karodeh1
1Howard University College of Medicine, Washington, DC USA.
Journal of the National Medical Association
|February 20, 2026
概括
在进入寄养家庭的儿童中,精神病诊断很常见,超过一半的儿童在一年内被诊断出来. 同时出现的高发病率和种族差异需要创伤知情,公平的干预措施.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 寄养家庭的儿童面临高水平的精神健康障碍.
- 有限的大规模数据存在于这个弱势群体中精神病相关疾病.
研究的目的:
- 确定在进入寄养家庭或机构照顾后一年内儿童中精神病诊断的流行率和模式.
- 调查这个群体中的人口差异和并发性疾病负担.
主要方法:
- 从TriNetX网络 (2003-2023) 采用非识别电子健康记录的回顾性队列研究.
- 通过使用ICD-10-CM代码,确定了95764名美国儿童被安置在托儿所或机构护理中.
- 分析了人口统计特征,精神病诊断和并发症模式.
主要成果:
- 超过一半 (56%) 的儿童在安置一年内至少接受了一项精神病诊断.
- 常见的诊断包括行为/情绪障碍 (33%),ADHD (21%),焦虑障碍 (25%) 和PTSD (12%).
- 观察到显著的共同发生,如ADHD与焦虑 (12%) 和PTSD与情绪障碍 (8%).
结论:
- 在进入寄养家庭的儿童中,精神病发病率普遍且复杂.
- 迫切需要早期,创伤知情和文化敏感的心理健康干预措施.
- 解决种族差异和促进儿童福利系统中协调,以公平为重点的方法至关重要.
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