Correlates of mental health disorders among children with hearing impairments
Correlates of mental health disorders among children with hearing impairments
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DOI：
10.1111/j.1469-8749.2008.03218.x
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发表时间：
2009-08-01
影响因子：
3.8
通讯作者：
Goldberg, David
中科院分区：
文献类型：
--
作者：
Fellinger, Johannes;Holzinger, Daniel;Goldberg, David
目的
本研究旨在阐明与听力受损者中较高的心理健康障碍发生率相关的因素，包括社会因素和听力学指标。
方法
对95名听力至少损失40分贝且非言语智力正常（智商97.5，标准差19.5）的学生（47名女生，48名男生；平均年龄11岁1个月，范围6岁5个月至16岁，标准差2岁7个月）进行了听力学评估，并通过结构化临床访谈给出当前和终身诊断，以及优势与困难问卷。从家长和教师那里收集了详细的社会信息。
结果
任何精神障碍（32.6%；45.3%）和抑郁症（7.4%；26.3%）的现患率和终身患病率均高于普通人群样本，且与听力损失程度无关。有终身诊断与孩子在家庭中被理解的能力之间存在关联（25.6%对7.7%，优势比4.12[1.2 - 14.1]，p = 0.02）。在那些被同学取笑、虐待或孤立的人中，内化性心理健康障碍的发生可能性是其他人的3到6倍。
解释
我们得出结论，被取笑、孤立或虐待的人患抑郁症的风险增加并非耳聋所特有，但让自己被理解的能力是，并且与这些不良经历的可能性有适度关联（r = 0.22 - 0.34）。
AimThe aim of this study was to elucidate factors related to the high rate of mental health disorders seen in those with impaired hearing, including social factors and audiological measures.MethodA representative sample of 95 pupils (47 females, 48 males; mean age 11y 1mo, range 6y 5mo to 16y, SD 2y 7mo) with hearing impairments of at least 40dB and normal non-verbal intelligence (IQ 97.5, SD 19.5), was assessed audiologically and with a structured clinical interview giving both current and lifetime diagnoses, and the Strengths and Difficulties Questionnaire. Detailed social information was gathered from parents and teachers.ResultsPoint and lifetime prevalence rates for any psychiatric disorder (32.6%; 45.3%) and depression (7.4%; 26.3%) were higher than in general population samples and not related to the degree of hearing loss. There was a relation between having a lifetime diagnosis and the child's ability to be understood within the family (25.6% vs 7.7%, odds ratio 4.12 [1.2-14.1], p=0.02). Internalizing mental health disorders were between three and six times more likely in those who had been teased, maltreated by classmates, or isolated.InterpretationWe conclude that the increased risk of depression in those who have been teased, isolated, or maltreated is not peculiar to deafness, but the ability to make oneself understood is, and is modestly related (r=0.22-0.34) to the probability of these adverse experiences.