Ristkari Terja, Sourander Andre, Ronning John, Helenius Hans
Dept. of Psychiatry, University of Turku, Kunnallissairaalantie 20, rak. 9, 20700, Turku, Finland.
Soc Psychiatry Psychiatr Epidemiol. 2006 Jul;41(7):523-31. doi: 10.1007/s00127-006-0059-x. Epub 2006 Mar 27.
To study the associations between psychiatric disorders and self-perceived problems among adolescent boys.
The study population consisted of 2348 Finnish boys born during 1981 attending obligatory military call-up (79.7% of the original sample). At military call-up in 1999, the boys filled in the Young Adult Self-Report (YASR) and Orientation of Life Questionnaire (SOC-13). Information about psychiatric disorders was obtained from the national military register during the years 1999-2004.
Most of the psychopathology, adaptive functioning and SOC scales were associated with a variety of psychiatric disorders at follow-up. However, when the effects of scales were controlled in multivariate analysis, only YASR somatic problems and SOC-13 showed an independent association with a wide range of psychiatric disorders at follow-up. Poor SOC-13 predicted anxiety, depression, antisocial personality and substance use disorders. The YASR somatic problems scale predicted anxiety, depression, substance use, psychotic, and adjustment disorders. Self-reported delinquency and poor competence at school predicted substance use and antisocial personality disorders.
Self-reports of poor sense of coherence and somatic complaints have a non-specific association with a wide range of psychiatric disorders. Clinical and theoretical implications of these findings are discussed.
研究青春期男孩精神障碍与自我认知问题之间的关联。
研究对象包括1981年出生的2348名芬兰男孩，他们参加了义务兵役征召（占原始样本的79.7%）。在1999年义务兵役征召时，这些男孩填写了《青少年自我报告》（YASR）和《生活取向问卷》（SOC - 13）。关于精神障碍的信息是在1999年至2004年期间从国家军事登记处获取的。
在随访中，大多数精神病理学、适应功能和SOC量表与多种精神障碍相关。然而，在多变量分析中控制量表效应后，只有YASR躯体问题和SOC - 13在随访时显示出与广泛的精神障碍存在独立关联。较差的SOC - 13预示着焦虑、抑郁、反社会人格和物质使用障碍。YASR躯体问题量表预示着焦虑、抑郁、物质使用、精神病性和适应障碍。自我报告的犯罪行为和学校表现不佳预示着物质使用和反社会人格障碍。
自我报告的连贯感差和躯体不适与广泛的精神障碍存在非特异性关联。讨论了这些发现的临床和理论意义。
