Mapping the Frequency and Severity of Depressive Behaviors in Preschool-Aged Children
Mapping the Frequency and Severity of Depressive Behaviors in Preschool-Aged Children
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DOI：
10.1007/s10578-017-0715-2
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发表时间：
2017-12-01
影响因子：
2.9
通讯作者：
Olino, Thomas M.
中科院分区：
文献类型：
--
作者：
Bufferd, Sara J.;Dougherty, Lea R.;Olino, Thomas M.
抑郁情绪和行为，如悲伤，易怒和睡眠困难，通常是早期出现的，损害性的和持久的。然而，这些行为在早期发展中是规范的，因此识别可能与抑郁症发展相关的行为谱至关重要。本研究采用一种新颖的每日日记法，对291名学龄前儿童的抑郁行为和抑郁障碍的频率和严重程度进行了研究。一个连贯的抑郁维度被确定，并报告了个别行为被确定为严重的具体频率。发现诸如悲伤、易怒和流泪/敏感的行为是相对规范的，而其他行为（例如，低兴趣/快乐，低自我价值）则不太规范。这些是第一个已知的数据来描述可能与抑郁症发展相关的行为的频率和严重程度的经验信息;这些数据为儿童医生提供了定量信息，以区分发育典型和有问题的行为，这对于改善评估和最大限度地减少损害发展轨迹至关重要。
Depressive emotions and behaviors, such as sadness, irritability, and sleep difficulties, are often early-emerging, impairing, and persistent. However, these behaviors are normative in early development, so it is critical to identify the spectrum of behaviors that may be relevant to the development of depression. This study characterizes the frequency and severity of depressive behaviors and impairment in preschool-aged children using a novel daily diary method with 291 parents. A coherent depression dimension was identified, and the specific frequency at which individual behaviors were identified as severe is reported. Behaviors such as sadness, irritability, and tearfulness/sensitivity were found to be relatively normative, whereas other behaviors (e.g., low interest/pleasure, low self-worth) were less normative. These are the first known data to delineate empirical information about the frequency and severity of behaviors that may be relevant to the development of depression; such data provide quantitative information for child practitioners to make distinctions between developmentally typical and problematic behavior, which is essential for improving assessment and minimizing impairing developmental trajectories.