The association between childhood hearing loss and self-reported peer victimisation, depressive symptoms, and self-harm: longitudinal analyses of a prospective, nationally representative cohort study.

The association between childhood hearing loss and self-reported peer victimisation, depressive symptoms, and self-harm: longitudinal analyses of a prospective, nationally representative cohort study.
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DOI:
10.1186/s12889-022-13457-6
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发表时间:
2022-05-25
期刊:
影响因子:
4.5
通讯作者:
Knowles, Rachel
Knowles, Rachel
中科院分区:
医学2区
文献类型:
--
作者:
Butcher, Emma;Cortina-Borja, Mario;Dezateux, Carol;Knowles, Rachel

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儿童听力损失(HL)预示着心理健康不佳,并与更高的沟通困难风险相关。儿童听力损失与特定类型的心理健康不佳(如抑郁症状或自残)以及同伴欺凌之间的关系仍不明确。 我们分析了来自千禧队列研究(MCS)的数据,这是一项对2000年至2002年出生、在9个月大时生活在英国的儿童进行的前瞻性观察队列研究。在儿童9个月大时以及3岁、5岁、7岁、11岁和14岁时都有关于儿童及其家庭的数据。 参与者是10858名单胎儿童,他们在14岁时有关于同伴欺凌、抑郁症状和自残的自我报告数据。采用多变量逻辑回归模型来估计听力损失与同伴欺凌、抑郁症状和自残的比值比(OR)。从9个月到14岁之间的任何听力损失情况以及听力损失轨迹类型(由发病和持续情况定义)方面对听力损失的存在进行了检查。分析针对潜在的混杂因素、调查设计以及14岁时的 attrition(失访情况)进行了调整。在每个模型中都检验了性别与听力损失之间的相互作用,并使用多重填补程序来处理缺失数据。 与没有听力损失的儿童相比,有任何听力损失的儿童出现抑郁症状(比值比:1.32,95%置信区间:1.09 - 1.60)、自残(1.41,1.12 - 1.78)的几率增加,并且仅在女孩中,出现同伴欺凌的几率增加(女孩:1.81,1.29 - 2.55;男孩:1.05,0.73 - 1.51)。发病年龄较晚且持续到14岁的听力损失是与所有结果相关的唯一轨迹。 儿童听力损失可能预示着同伴欺凌(在女孩中)、抑郁症状和自残。需要进一步的研究来确定听力损失轨迹以及促进听力损失儿童良好心理健康的方法。 网络版包含补充材料,可在10.1186/s12889 - 2022 - 13457 - 6获取。
Childhood hearing loss (HL) predicts poor mental health and is associated with a higher risk of communication difficulties. The relationship of childhood HL with specific types of poor mental health (such as depressive symptoms or self-harm) and peer victimisation remains unclear. We analysed data from the Millennium Cohort Study (MCS), a prospective observational cohort study of children living in the UK at age 9 months and born between 2000 to 2002. Data were available on the children and their families at ages 9 months, then at 3, 5, 7, 11, and 14 years. Participants were 10,858 singleton children with self-reported data on peer victimisation, depressive symptoms, and self-harm at age 14 years. Multivariable logistic regression models were fitted to estimate odds ratios (OR) for HL with peer victimisation, depressive symptoms, and self-harm. HL presence was examined in terms of any HL between ages 9 months and 14 years, as well as by HL trajectory type (defined by onset and persistence). Analyses were adjusted for potential sources of confounding, survey design, and attrition at age 14 years. Interactions between sex and HL were examined in each model and multiple imputation procedures used to address missing data. Children with any HL had increased odds of depressive symptoms (OR: 1.32, 95% CI: 1.09–1.60), self-harm (1.41, 1.12–1.78) and, in girls only, peer victimisation (girls: 1.81, 1.29–2.55; boys: 1.05, 0.73–1.51), compared to those without HL. HL with later age at onset and persistence to age 14 years was the only trajectory associated with all outcomes. Childhood HL may predict peer victimisation (in girls), depressive symptoms, and self-harm. Further research is needed to identify HL trajectories and methods to facilitate good mental health in children with HL. The online version contains supplementary material available at 10.1186/s12889-022-13457-6.
DOI: 10.1111/jcpp.12803
发表时间: 2018-03
期刊: Journal of child psychology and psychiatry, and allied disciplines
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