Mesman J, Koot H M
Department of Child and Adolescent Psychiatry, Sophia Children's Hospital/Erasmus University Rotterdam, The Netherlands.
J Am Acad Child Adolesc Psychiatry. 2000 Nov;39(11):1379-86. doi: 10.1097/00004583-200011000-00012.
To examine the predictive association of parent- and teacher-reported behaviors at age 2 to 3 years in relation to child-reported depression and anxiety at age 10 to 11 years.
Subjects were participants in a longitudinal study of 420 children aged 2 to 3 years from the general population first assessed in 1989 and again in 1991 (n = 397) and 1997 (n = 358). For the present study, 249 children were included for whom all relevant measures were obtained. These measures include the Child Behavior Checklist (CBCL) for 2- to 3-year-olds at time 1, the CBCL for 4- to 18-year-olds and the Teacher's Report Form at time 2, and the Dimensions of Depression Profile for Children and the State-Trait Anxiety Inventory for Children at time 3.
Only 5 and 8 of 220 parent-reported preschool problem items were significantly related to later child-reported depression and anxiety, respectively, and only 3 of 120 teacher-reported problem items were related to later anxiety. Of 120 teacher-reported preschool problem items, 21 were significantly related to later depression, including items referring to early signs of depression and social and academic problems.
Teachers, but not parents, can provide valuable information regarding preschool signals of preadolescent depression, but not anxiety. These signals include early social and academic problems.
探讨2至3岁时家长和教师报告的行为与10至11岁时儿童报告的抑郁和焦虑之间的预测关联。
研究对象为420名2至3岁儿童的纵向研究参与者，这些儿童来自普通人群，于1989年首次评估，1991年（n = 397）和1997年（n = 358）再次评估。本研究纳入了249名获得所有相关测量数据的儿童。这些测量包括：第一次评估时针对2至3岁儿童的儿童行为量表（CBCL），第二次评估时针对4至18岁儿童的CBCL和教师报告表，以及第三次评估时的儿童抑郁量表和儿童状态-特质焦虑量表。
在220项家长报告的学前问题项目中，分别只有5项和8项与后来儿童报告的抑郁和焦虑显著相关，在120项教师报告的问题项目中，只有3项与后来的焦虑相关。在120项教师报告的学前问题项目中，有21项与后来的抑郁显著相关，包括涉及抑郁早期迹象以及社交和学业问题的项目。
教师而非家长能够提供有关青春期前抑郁而非焦虑的学前信号的有价值信息。这些信号包括早期社交和学业问题。
