Wallander J L, Dekker M C, Koot H M
Sociometrics Corporation, Los Altos, CA 94022-2812, USA.
J Intellect Disabil Res. 2006 Apr;50(Pt 4):259-68. doi: 10.1111/j.1365-2788.2005.00792.x.
This study examined risk factors for the development of psychopathology in children with intellectual disability (ID) in the developmental, biological, family and social-ecological domains.
A population sample of 968 children, aged 6-18, enrolled in special schools in The Netherlands for educable and trainable ID were assessed at Time 1. A random 58% were re-contacted about 1 year later, resulting in a sample of 474 at Time 2.
Psychopathology was highly consistent over 1 year. Risk factors jointly accounted for significant, but small, portions of the variance in development of psychopathology. Child physical symptoms, family dysfunction and previous parental mental health treatment reported at Time 1 were uniquely associated with new psychopathology at Time 2.
Prevention and early intervention research to find ways to reduce the incidence of psychopathology, possibly targeting family functioning, appear important.
本研究调查了智力残疾(ID)儿童在发育、生物、家庭和社会生态领域出现精神病理学问题的风险因素。
对荷兰特殊学校中968名6至18岁、可教育和可训练的ID儿童进行了首次评估。约1年后随机重新联系了58%的儿童,最终得到了474名儿童的第二次评估样本。
精神病理学问题在1年期间高度一致。风险因素共同解释了精神病理学发展中显著但较小比例的差异。首次评估时报告的儿童身体症状、家庭功能障碍和父母以前接受的心理健康治疗与第二次评估时新出现的精神病理学问题存在独特关联。
开展预防和早期干预研究以找到降低精神病理学发病率的方法,可能以家庭功能为目标,这似乎很重要。