The mental health module (BELLA study) within the German Health Interview and Examination Survey of Children and Adolescents (KiGGS): study design and methods

The mental health module (BELLA study) within the German Health Interview and Examination Survey of Children and Adolescents (KiGGS): study design and methods
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DOI:
10.1007/s00787-008-1002-3
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发表时间:
2008-12-01
影响因子:
6.4
通讯作者:
Kurth, Baerbel-Maria
Kurth, Baerbel-Maria
中科院分区:
医学2区
文献类型:
--
作者:
Ravens-Sieberer, Ulrike;Kurth, Baerbel-Maria

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贝拉关于儿童和青少年心理健康和幸福感的研究是德国儿童和青少年健康访谈和检查调查(KiGGS)的心理健康模块。KiGGS的这项横断面调查收集了居住在德国的17641名0-17岁儿童和青少年的健康状况的综合数据。这项调查包括体检和测试,父母填写的问卷,以及针对11岁或11岁以上儿童的同等问卷。研究医生进行了计算机辅助的个人访谈,并进行了各种实验室测试,例如对血液和尿样的测试。这项纵向的贝拉研究从一个具有代表性的KiGGS分样本中收集了最初的横断面数据,这些家庭有7-17岁的孩子。在被邀请参加贝拉研究的4199个随机选择的家庭中,有2863个家庭参与了研究。参与调查的儿童青少年中,女生占48.5%,男生占51.5%。在贝拉的研究中,训练有素的采访者对父母之一和孩子进行了标准化的电话采访,如果孩子至少11岁的话。之后,这些家庭收到了额外的问卷。访谈和问卷包括各种标准化的和以ICD-10为导向的工具,检查总体精神健康问题及其相关负担、抑郁、焦虑、注意力缺陷/多动和行为障碍。此外,它们涵盖了与精神健康和福祉有关的广泛方面,如风险和保护因素以及与健康有关的生活质量。对无答复者的分析表明,同意参与的家庭在德国人口中形成了一个具有代表性的样本。在社会经济状况和父母报告的精神健康问题方面,该样本仅与KiGGS样本结构略有偏离。在儿童自我报告的心理健康方面,没有观察到这样的差异。采用加权程序来纠正与目标人口的社会人口和社会经济结构的偏差。
The BELLA study on mental health and well-being in children and adolescents is the mental health module of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). The cross-sectional KiGGS survey collected comprehensive data on the health status of 17,641 children and adolescents, aged 0-17 years, living in Germany. The survey included physical examinations and tests, questionnaires filled in by parents and equivalent questionnaires for children aged 11 years or older. A computer-assisted personal interview was conducted by study physicians, and various laboratory tests, e. g. on blood and urine samples, were performed. The longitudinal BELLA study collected initial cross-sectional data from a representative KiGGS sub-sample of families with children aged 7-17 years. Of the 4,199 randomly selected families invited to participate in the BELLA study, 2,863 took part. A total of 48.5% of the participating children and adolescents were girls, 51.5% were boys. Within the BELLA study, trained interviewers conducted standardised telephone interviews with one parent and also the child, if it was at least 11 years old. Afterwards the families received additional questionnaires. The interviews and questionnaires included various standardised and ICD-10-oriented instruments examining overall mental health problems and associated burden, depression, anxiety, attention deficit-/hyperactivity and conduct disorders. Furthermore they covered a broad spectrum of aspects related to mental health and wellbeing, such as risk and protective factors and health-related quality of life. An analysis of the non-responders showed that the families who agreed to participate form a representative sample with respect to the German population. The sample deviated only slightly from the KiGGS sample structure regarding socioeconomic status and regarding parent-reported mental health problems. No such difference was observed for the children's self-reported mental health. A weighting procedure was applied to correct for deviations from the sociodemographic and socioeconomic structure of the target population.