Early intervention for psychosomatic symptoms of adolescents in school checkup
Early intervention for psychosomatic symptoms of adolescents in school checkup
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学校体检中青少年心身症状的早期干预
DOI：
10.1111/ped.15117
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Murakami K
中科院分区：
文献类型：
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作者：
Habukawa C;Nagamitsu S;Koyanagi K;Nishikii Y;Yanagimoto Y;Yoshida S;Suzuki Y;Murakami K
本研究的目的是评估早期医学干预对学校健康检查中发现的青少年心理社会问题的有效性，以预防青少年这些问题的发生。（身体症状、抑郁症状、焦虑症状、自我效能和家庭功能），和生活方式调查。43名儿童被发现有心身障碍的高风险，其中18人接受了医疗干预（早期干预组），25人没有接受（非干预组）。57名接受心身疾病治疗≤3个月的儿童（门诊组）也纳入研究。结果早期干预组患者的躯体症状、抑郁症状、焦虑症状、抑郁症状、抑郁症状、焦虑症状、焦虑症状、抑郁症状、焦虑症状、焦虑症状、抑郁症状、焦虑症状、焦虑症状、抑郁症状、焦虑症状、抑郁症状、焦虑症状、焦虑症状、抑郁症状、焦虑症状、焦虑症状、抑郁症状、焦虑与第一次调查相比，在学校与朋友和老师的不稳定关系在一年后都有显着改善。在非干预组中，这些项目都没有改善，而门诊组的所有评分都逐渐改善。在早期干预组的家庭功能评分随着时间的推移而改善，而那些在非干预组恶化。ConclusionsEarly检测的儿童在高风险的心身障碍在学校健康检查和早期的医疗干预是有益的，为预防青少年心身障碍。
BackgroundThe purpose of this study was to evaluate the efficacy of early medical intervention for psychosocial problems detected in adolescents in a school health checkup, with the broader goal of prevention of these problems in adolescents.MethodsThe Questionnaire for Triage and Assessment with 30 items score and scores for five subscales (physical symptoms, depression symptoms, anxiety symptoms, self‐efficacy, and family function), and an investigation of lifestyle were determined in a school health checkup for 5th grade elementary to 3rd grade junior high school students. Forty‐three children were found to be at high risk for psychosomatic disorder, of whom 18 then received a medical intervention (early intervention group) and 25 did not (non‐intervention group). Fifty‐seven children (outpatient group) treated for psychosomatic disorder for ≤3 months were also included in the study. The Questionnaire for Triage and Assessment with 30 items (QTA30) was completed by all participants every 3 months for 1 year and scores were compared among the groups.ResultsIn the early intervention group, total Questionnaire for Triage and Assessment with 30 items scores; physical, depression, and anxiety symptoms; and unstable relationships with friends and teachers at school all significantly improved after 1 year compared to the first survey. None of these items improved in the non‐intervention group, while the outpatient group had gradual improvement in all scores. Family function scores in the early intervention group improved over time, whereas those in the non‐intervention group worsened.ConclusionsEarly detection of children at high risk for psychosomatic disorder at a school health checkup and early medical intervention were useful for prevention of psychosomatic disorder in adolescents.