Chronic physical illness and mental health in children. Results from a large-scale population study
Chronic physical illness and mental health in children. Results from a large-scale population study
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DOI：
10.1111/j.1469-7610.2007.01755.x
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发表时间：
2007-08-01
影响因子：
7.6
通讯作者：
Lundervold, Astri J.
中科院分区：
文献类型：
--
作者：
Hysing, Mari;Elgen, Irene;Lundervold, Astri J.
背景资料：本研究的目的是评估的优势和困难问卷（SDQ）在检测慢性疾病（CI）儿童的情绪和行为问题的敏感性和特异性。研究方法：家长和教师的人口在挪威的小学儿童（n = 9430）完成了一份问卷调查，包括SDQ，和一个关于慢性疾病的问题。共有74%（n = 7007）的家长参与。根据发展和幸福感评估（DAWBA），对子样本（n = 1040）进行精神病诊断评估。结果：根据家长报告，537例（8%）儿童有Cl。SDQ显示，与非CI同龄人相比，CI儿童的情绪和行为问题的风险增加，无论是男孩（OR = 2.10 CI 95% 1.56-2.83）和女孩（OR = 2.11 CI 95% 1.49-2.99）。根据DAWBA评估，CI儿童也显示出精神障碍的风险增加（OR = 1.70 CI 95% 1.04-2.85）。SDQ在预测精神病诊断方面的敏感性和特异性都很高，即使只包括来自父母的信息。结论：一般人群中的Cl儿童行为和情绪问题以及精神障碍的风险增加。鉴于其高灵敏度和特异性，SDQ可能会很好地作为一个筛选工具的行为/情绪问题和精神障碍的儿童与CI。
Background: The aim of the present study was to evaluate the sensitivity and specificity of the Strengths and Difficulties Questionnaire (SDQ) in detecting emotional and behavioural problems among children with chronic illness (CI). Methods: Parents and teachers of a population of primary school children in Norway (n = 9430) completed a questionnaire including the SDQ, and a question about chronic illness. A total of 74% (n = 7007) of the parents participated. A sub-sample (n = 1040) was given a psychiatric diagnostic evaluation according to the Development and Well-Being Assessment (DAWBA). Results: According to parent reports, 537 (8%) children had a Cl. The SDQ revealed an increased risk of emotional and behavioural problems in children with Cl as compared with non-Cl peers, both among boys (OR = 2.10 CI 95% 1.56-2.83) and girls (OR = 2.11 Cl 95% 1.49-2.99). Children with CI also showed an increased risk of psychiatric disorder as assessed by the DAWBA (OR = 1.70 Cl 95% 1.04-2.85). Both the sensitivity and specificity of the SDQ in predicting a psychiatric diagnosis were high, even when only information from parents was included. Conclusion: Children with Cl in the general population are at increased risk of behavioural and emotional problems and psychiatric disorders. Given its high sensitivity and specificity the SDQ might work well as a screening instrument for behaviour/emotional problems and psychiatric disorder in children with Cl.