Risk Factors for Childhood Mental Health Symptoms: National Longitudinal Study of Australian Children
Risk Factors for Childhood Mental Health Symptoms: National Longitudinal Study of Australian Children
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DOI：
10.1542/peds.2011-0491
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发表时间：
2011-10-01
期刊：
影响因子：
8
通讯作者：
Nicholson, Jan M.
中科院分区：
文献类型：
--
作者：
Bayer, Jordana K.;Ukoumunne, Obioha C.;Nicholson, Jan M.
目的：为了确定预测的儿童外化（行为）和内化（情绪）症状在全国人口sample.METHODS：数据收集在3个两年一次的波（2004年，2006年和2008年）从2个队列的纵向研究澳大利亚儿童，最初包括5107名儿童0至1岁和4983名儿童4至5岁。主要结果是儿童外化和内化症状。潜在的危险因素和儿童心理健康outcomes之间的关系进行了描述，通过使用线性回归。结果：在未经调整的分析，儿童的心理健康症状预测了大量的危险因素。在多变量模型中，儿童早期因素（出生至5岁）分别解释了4至5岁时外化和内化症状变化的30%和18%。儿童中期（5-9岁）因素分别解释了8 - 9岁时外化和内化症状变化的20%和23%。在两个年龄组中，严厉的纪律是外化症状的一个强有力的一致预测因子，而儿童身体健康状况较差、母亲情绪困扰、严厉的纪律和过度参与/保护性的父母养育（仅年轻队列）一致预测内化症状。关于儿童心理健康症状预测因素的国家数据突出了少数重要的风险因素，在家庭环境中，从很小的时候就存在。这些知识为家庭支持计划的人群水平、随机、预防试验提供了信息。儿科2011;128：e865-e879
OBJECTIVE: To determine predictors of child externalizing (behavioral) and internalizing (emotional) symptoms in a national population sample.METHODS: Data were collected in 3 biennial waves (2004, 2006, and 2008) from 2 cohorts in the Longitudinal Study of Australian Children, initially including 5107 children 0 to 1 year of age and 4983 children 4 to 5 years of age. The primary outcomes were child externalizing and internalizing symptoms. Relationships between potential risk factors and child mental health outcomes were described by using linear regression.RESULTS: In unadjusted analyses, children's mental health symptoms were predicted by a large number of risk factors. In multivariate models, early childhood factors (birth through 5 years) explained 30% and 18% of variations in externalizing and internalizing symptoms, respectively, at 4 to 5 years of age. Middle childhood (5-9 years of age) factors explained 20% and 23% of variations in externalizing and internalizing symptoms, respectively, at 8 to 9 years of age. Harsh discipline was a strong consistent predictor of externalizing symptoms in both age groups, whereas poorer child physical health, maternal emotional distress, harsh discipline, and overinvolved/protective parenting (younger cohort only) predicted internalizing symptoms consistently.CONCLUSIONS: National data on predictors of child mental health symptoms highlighted a small number of significant risk factors, situated in the family context and present from a very young age. This knowledge is informing population-level, randomized, prevention trials of family support programs. Pediatrics 2011;128:e865-e879