Childhood internalizing behaviour: analysis and implications
Childhood internalizing behaviour: analysis and implications
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DOI：
10.1111/j.1365-2850.2011.01743.x
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发表时间：
2011-12-01
影响因子：
2.7
通讯作者：
Lewis, G.
中科院分区：
文献类型：
--
作者：
Liu, J.;Chen, X.;Lewis, G.
“内化行为”这一概念反映了儿童的情绪或心理状态，通常包括抑郁症、焦虑症、躯体不适和青少年自杀。尽管研究仍在探索社会病因因素，但遗传和环境因素在很大程度上都有涉及。一些研究表明，女性可能尤其容易患上内化障碍，而不同种族的数据则有些差异。在治疗方面，认知行为疗法和药物治疗方法（即选择性5 - 羟色胺再摄取抑制剂）在减轻内化障碍症状方面都显示出很大的潜力。然而，鉴于社会环境的作用，旨在减少接触毒品、暴力/虐待和环境毒素的预防项目是非常重要的。内化障碍与一系列有害后果（例如辍学、药物使用以及可能的自杀）以及精神病理后果（例如共病焦虑或抑郁、外化障碍——包括自杀）相关。有心理健康问题的儿童在教育方面会受到影响，并且更有可能卷入司法和福利系统。显然，从公共卫生角度以及家庭和社区角度来看，内化障碍的早期治疗和预防项目都需要被列为优先事项。
The concept of 'internalizing behaviour' reflects a child's emotional or psychological state and typically includes depressive disorders, anxiety disorders, somatic complaints and teenage suicide. Genetic and environmental causes have been largely implicated, although research continues to explore social etiological factors. Some research suggests females may be especially vulnerable to internalizing disorders, while data across ethnicities are somewhat variable. Regarding treatment, cognitive-behavioural therapies and use of pharmacological approaches (i.e. selective serotonin reuptake inhibitors) have both shown great promise in reducing symptoms of internalizing disorders. However, given the role of the social environment, prevention programmes aimed at reducing exposure to drugs, violence/abuse and environmental toxins are highly important. Internalizing disorders are associated with a host of deleterious outcomes ( e. g. school drop-out, substance use and potentially suicide) as well as psychopathological outcomes ( e. g. co-morbid anxiety or depression, externalizing disorders - including suicide). Children with mental health problems suffer educationally and are more likely to become entangled in the justice and welfare systems. Clearly, early treatment and prevention programmes for internalizing disorders need to be a priority from a public health perspective as well as from a family and community perspective.