Psychopathological problems and psychosocial impairment in children and adolescents aged 3-17 years in the German population: prevalence and time trends at two measurement points (2003-2006 and 2009-2012). Results of the KiGGS study: first follow-up (KiGGS Wave 1)
Psychopathological problems and psychosocial impairment in children and adolescents aged 3-17 years in the German population: prevalence and time trends at two measurement points (2003-2006 and 2009-2012). Results of the KiGGS study: first follow-up (KiGGS Wave 1)
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DOI：
10.1007/s00103-014-1979-3
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发表时间：
2014-07-01
影响因子：
1.7
通讯作者：
Mauz, E.
中科院分区：
文献类型：
--
作者：
Hoelling, H.;Schlack, R.;Mauz, E.
儿童和青少年心理健康问题不仅给个人，而且给其家庭和社会环境带来负担，因此可被视为一个高度相关的公共卫生问题。通过对儿童和青少年心理健康问题第一阶段调查（2009-2012年）的数据分析，可以了解儿童和青少年心理健康问题的当前流行率以及从儿童和青少年心理健康问题基线调查（2003-2006年）开始的6年期间的时间趋势。KiGGS第1波中的情绪和行为问题的评估是通过对10，353名3-17岁儿童和青少年监护人的电话采访中的优势和困难问卷（SDQ）的症状问卷进行的。此外，使用SDQ影响补充，KIGGS第1波数据提供了有关儿童和青少年心理健康问题后的心理社会损害的信息。根据德国标准数据，SDQ评分处于临界或异常的受试者被认为有风险。共有20.2%（95% CI：18.9- 21.6%）的研究受试者被确定为有精神健康障碍的风险，而KiGGS基线研究期间为20.0%（19.1- 20.9%）（基于2010年12月12日的人群进行年龄标准化）。因此，没有发现精神健康问题的流行率随时间发生重大变化。此外，KiGGS基线调查和KiGGS Wave 1之间按性别、年龄组或社会经济地位划分的患病率无统计学显著差异。女孩和男孩的分量表平均值的统计比较显示，KiGGS第1波中情绪问题、行为问题和亲社会行为分量表的平均值较高，同伴问题分量表的平均值较低。然而，这些部分小的时间趋势可能是由于可能的模式效应（KiGGS基线研究中的书面问卷与KiGGS Wave 1中的电话访谈）。多动子量表在两个样本期内保持稳定。在第二个抽样期间，关于精神健康问题后的损害，男孩在慢性病、家庭负担和影响评分方面受到的影响更大。情绪和行为问题的高而稳定的流行率和严重程度应促使加强预防工作。
Child and adolescent mental health problems burden not only the individual, but also their families and their social environment and may, therefore, be regarded as a highly relevant public health issue. The data on mental health problems of children and adolescents from the KiGGS Wave 1 study (sample period 2009-2012) make it possible to report on both current prevalence rates and time trends over the 6-year period beginning with the KiGGS baseline survey (2003-2006). The assessment of emotional and behavioral problems in KiGGS Wave 1 was carried out with the symptoms questionnaire of the Strengths and Difficulties Questionnaire (SDQ) in a telephone interview with 10,353 guardians of children and adolescents aged 3-17 years. Moreover, using the SDQ impact supplement, the KIGGS Wave 1 data provide information on psychosocial impairment following child and adolescent mental health problems. Subjects with a borderline or abnormal SDQ score, according to German normative data, were considered at risk. A total of 20.2 % (95 % CI: 18.9-21.6 %) of the study subjects were identified as being at risk for a mental health disorder, compared with 20.0 % (19.1-20.9 %) during the KiGGS baseline study (age-standardized based on population from 12 December 2010). Thus, no significant changes over time in the prevalence of mental health problems were detected. Also, there were no statistically significant differences in prevalence by sex, age group, or socioeconomic status between the KiGGS baseline survey and KiGGS Wave 1. The statistical comparison of the subscale mean values for both girls and boys showed higher values with respect to the subscales for emotional problems, behavioral problems, and prosocial behavior and lower mean values for the peer problems subscale in KiGGS Wave 1. These partly small temporal trends, however, may be due to possible mode effects (written questionnaire in the KiGGS baseline study versus telephone interview in KiGGS Wave 1). The hyperactivity subscale remained stable across the two sample periods. Regarding impairments following mental health problems at the second sample period, boys were more affected in the areas of chronicity, family burden, and impact score. The high and stable prevalence rates and magnitude of emotional and behavioral problems should prompt increased preventive efforts.