Screening for childhood mental health problems: outcomes and early identification.
Screening for childhood mental health problems: outcomes and early identification.
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儿童心理健康问题筛查：结果和早期识别。
DOI：
10.1111/j.1469-7610.2008.02015.x
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发表时间：
2009-05
期刊：
影响因子：
--
通讯作者：
Kupfer DJ
中科院分区：
文献类型：
--
作者：
Essex MJ;Kraemer HC;Slattery MJ;Burk LR;Boyce WT;Woodward HR;Kupfer DJ
许多儿童精神问题是暂时的。因此，筛查程序，以准确地确定儿童的问题不大可能缓解，因此，需要干预，是主要的公共卫生问题。本研究旨在发展一个普遍的校本筛查程序的基础上回答三个问题：（1）从幼儿园到五年级的心理健康问题的主要模式是什么？(2)这些模式的5级结果是什么？(3)在上学的多早的时候，孩子们就可以准确地识别出最有可能发展出的损害模式？母亲和教师报告的社区样本（N=328）的儿童的内化和外化症状在幼儿园和1，3，5年级。在五年级，教师报告儿童的学校为基础的功能障碍，身体健康问题，和服务的使用;母亲报告儿童的专业精神卫生保健。四种模式区分儿童（1）从未出现症状;（2）仅出现孤立症状;或出现复发症状，（3）没有或（4）有共病的内化和外化。到5年级，有复发性共病症状的儿童有最大的障碍，身体健康问题和服务使用。这些孩子在一年级时就可以相当准确地识别出来。入学时的普遍筛查可以有效地识别可能出现复发性共病症状的儿童，并为制定最佳的针对性干预方案提供基础。
Many childhood psychiatric problems are transient. Consequently, screening procedures to accurately identify children with problems unlikely to remit and thus, in need of intervention, are of major public health concern. This study aimed to develop a universal school-based screening procedure based on the answers to three questions: (1) What are the broad patterns of mental health problems from kindergarten to grade 5? (2) What are the grade 5 outcomes of these patterns? (3) How early in school can children likely to develop the most impairing patterns be identified accurately? Mothers and teachers reported on a community sample (N=328) of children’s internalizing and externalizing symptoms in kindergarten and grades 1, 3, and 5. In grade 5, teachers reported on children’s school-based functional impairments, physical health problems, and service use; mothers reported on children’s specialty mental health care. Four patterns distinguished children who (1) never evidenced symptoms; (2) evidenced only isolated symptoms; or evidenced recurrent symptoms, either (3) without or (4) with comorbid internalizing and externalizing. By grade 5, children with recurrent comorbid symptoms had the greatest impairments, physical health problems, and service use. These children can be identified quite accurately by grade 1. Universal screening at school entry can effectively identify children likely to develop recurrent comorbid symptoms, and would provide a basis for developing optimal targeted intervention programs.
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DOI：
10.1097/00004583-200205000-00017
发表时间：
2002-05-01
影响因子：
13.3
作者：
Essex, MJ;Boyce, WT;Kupfer, DJ
通讯作者：
Kupfer, DJ
影响因子：
8
作者：
Hacker, Karen A.;Myagmarjav, Enkhbolor;Link, David
通讯作者：
Link, David
DOI：
10.1097/00004583-200202000-00012
发表时间：
2002-02-01
影响因子：
13.3
作者：
Hofstra, MB;van der Ende, J;Verhulst, FC
通讯作者：
Verhulst, FC
DOI：
10.1097/00004583-199608000-00019
发表时间：
1996-08-01
影响因子：
13.3
作者：
Offord, DR;Boyle, MH;Lipman, EL
通讯作者：
Lipman, EL
DOI：
10.1097/00004583-199209000-00022
发表时间：
1992-09-01
影响因子：
13.3
作者：
VERHULST, FC;VANDERENDE, J
通讯作者：
VANDERENDE, J