Prevalence of depressive symptoms and associated developmental disorders in preschool children: a population-based study
Prevalence of depressive symptoms and associated developmental disorders in preschool children: a population-based study
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DOI：
10.1007/s00787-013-0452-4
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发表时间：
2014-04-01
影响因子：
6.4
通讯作者：
von Gontard, Alexander
中科院分区：
文献类型：
--
作者：
Fuhrmann, Pia;Equit, Monika;von Gontard, Alexander
抑郁症是一种致残性疾病，在学龄前儿童中经常被忽视。本研究的目的是分析大量学龄前儿童中抑郁症状的患病率和同时发生的危险因素。社区护理儿科医生在入学考试期间对特定地理区域内的所有 653 名儿童（总共 731 名）进行了评估。除了临床评估之外，家长还填写了学前情绪检查表，这是一个包含 16 项的筛查工具，具有良好的心理测量特性。平均年龄为 6.2 岁（范围 5.0-7.6 岁），样本包括 344 名男孩和 305 名女孩。临床相关抑郁症状（总分>= 3）的患病率为5.7% (37)。男孩和女孩之间以及年龄较小（< 6 岁）和年龄较大（> 6 岁）儿童之间没有差异。抑郁症状与父母分离和共病行为问题有关，尤其是与发育运动和言语问题和障碍有关。移民到德国没有影响。抑郁症状在学龄前儿童中很常见，并且与发育问题有关。对于有言语和运动问题且处于特殊风险的儿童，应考虑抑郁症。建议及早发现和治疗。
Depression is an incapacitating disorder, which is often overlooked in preschool children. The aim of this study was to analyse the prevalence of depressive symptoms and co-occurring risk factors in a large, population-based sample of preschool children. All 653 children (of a total of 731) in a defined geographical area were assessed during the school-entry exam by community care paediatricians. In addition to clinical appraisal, parents filled out the Preschool Feelings Checklist, a 16-item screening instrument with good psychometric properties. The mean age was 6.2 years (range 5.0-7.6 years) and the sample included 344 boys and 305 girls. The prevalence of depressive symptoms of clinical relevance (total score >= 3) was 5.7 % (37). There were no differences between boys and girls, and between younger (< 6 years) and older (> 6 years) children. Depressive symptoms were associated with parental separation and comorbid behavioural problems, but especially with developmental motor and speech problems and disorders. Migration to Germany had no influence. Depressive symptoms are common in preschool children and associated with developmental problems. Depression should be considered in children with speech and motor problems who are at special risk. Early detection and treatment are recommended.