Inattention symptoms predict level of depression in early childhood.
Inattention symptoms predict level of depression in early childhood.
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DOI：
10.3810/pgm.2013.01.2630
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发表时间：
2013-01
影响因子：
4.2
通讯作者：
Halperin JM
中科院分区：
文献类型：
--
作者：
Rajendran K;O'Neill S;Halperin JM
探讨儿童早期注意力不集中程度与抑郁之间的潜在双向关系。儿童（N = 216）从纽约，纽约，大都会区招募时，他们3至4岁（T1），并再次研究在6岁（T2）和7岁（T3）。儿童注意力不集中症状的测量使用儿童情感障碍和精神分裂症的学龄儿童-现在和一生的时间表，沿着家长和教师的报告的行为评估系统的儿童，第二版（BASC-2）。在每个时间点使用BASC-2上的家长和教师报告评估儿童抑郁症的严重程度。在研究了儿童注意力不集中与抑郁症之间的相关性后，使用结构方程模型来研究儿童注意力不集中是否与儿童抑郁症纵向相关，以及儿童抑郁症症状是否与后来的儿童注意力不集中相关。T1和T2时儿童注意力不集中的严重程度分别与T2和T3时儿童抑郁的严重程度增加纵向相关。早期儿童抑郁症与后期儿童注意力不集中没有纵向相关性。儿童注意力不集中是儿童抑郁水平增加的危险因素。评估儿童注意力不集中症状的儿科医生和临床医生也需要调查抑郁症的症状。这项研究为在情绪问题变得更严重之前，在学龄前和幼儿期治疗儿童的注意力不集中症状提供了一个案例。
To investigate the potential bidirectional relationships between severity of inattention and depression across early childhood. Children (N = 216) from the New York, NY, metropolitan area were recruited when they were aged 3 to 4 years (T1) and studied again at age 6 (T2) and 7 (T3) years. Child inattention symptoms were measured using the Kiddie–Schedule for Affective Disorders and Schizophrenia for School-Aged Children–Present and Lifetime, along with both parent and teacher reports on the Behavior Assessment System for Children, Second Edition (BASC-2). Severity of child depression was assessed at each time point using parent and teacher reports on the BASC-2. After examining correlations between child inattention and depression, structural equation modeling was used to investigate whether child inattention was longitudinally related to child depression, and whether child depression symptoms were associated with later child inattention. Severity of child inattention at T1 and T2 was longitudinally associated with increased severity of child depression at T2 and T3, respectively. Early child depression was not longitudinally associated with later child inattention. Child inattention is a risk factor for increased levels of child depression. Pediatricians and clinicians who assess children’s inattention symptoms also need to investigate symptoms of depression. This study makes a case for treating children’s inattention symptoms at preschool and early childhood, before emotional problems become more severe.