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[儿童和青少年的行为问题。德国儿童和青少年健康访谈与检查调查(KiGGS)的初步结果]

[Behavioural problems in children and adolescents. First results from the German Health Interview and Examination Survey for Children and Adolescents (KiGGS)].

作者信息

Hölling H, Erhart M, Ravens-Sieberer U, Schlack R

机构信息

Robert Koch-Institut, Berlin, BRD.

出版信息

Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007 May-Jun;50(5-6):784-93. doi: 10.1007/s00103-007-0241-7.

Abstract

Mental health problems in children and adolescents constitute health impairments with major implications regarding individual wellbeing as well as daily and social functioning. In addition, these problems often burden the social partners of the individual. Within the German Health Interview and Examination Survey for Children and Adolescents (KiGGS), the parents of 14478 children and adolescents aged 3-17 answered the Strengths and Difficulties Questionnaire (SDQ) which assesses behavioral problems and strengths in the areas emotional problems, hyperactivity, behavioral problems, peer problems and prosocial behavior. According to the results of the Total Difficulties Score (SDQ) 11,5 % girls (G) and 17,8 % boys (B) are classified borderline or abnormal, respectively. 92,5 % (G) and 86,3 % (B) display an adequate pro social behavior. Most prevalent problem areas are behavioral problems (G = 11,9 %, B = 17,9 %), emotional problems (G = 9,7 %, B = 8,6 %) and hyperactivity problems (G = 4,8 %, B = 10,8 %). The test-data of approximately 8,1 % of the respondents with high socio-economic status (SES), 13,4 % of those with middle SES and 23,2 % of those with low SES hinted at mental health problems. Migrants are more frequently affected than non-migrants. Results point at the need for early detection and prevention of commencing mental health problems. Especially the noneasily accessible groups like those with low socioeconomic status or migrants have to be considered.

摘要

儿童和青少年的心理健康问题会损害健康,对个人幸福以及日常和社交功能都有重大影响。此外,这些问题往往会给个人的社会关系带来负担。在德国儿童和青少年健康访谈与检查调查(KiGGS)中,14478名3至17岁儿童和青少年的父母回答了优势与困难问卷(SDQ),该问卷评估了情绪问题、多动、行为问题、同伴问题和亲社会行为等方面的行为问题和优势。根据总困难得分(SDQ)的结果,分别有11.5%的女孩(G)和17.8%的男孩(B)被归类为临界或异常。92.5%(G)和86.3%(B)表现出适当的亲社会行为。最普遍的问题领域是行为问题(G = 11.9%,B = 17.9%)、情绪问题(G = 9.7%,B = 8.6%)和多动问题(G = 4.8%,B = 10.8%)。社会经济地位高(SES)的受访者中约8.1%、社会经济地位中等的受访者中13.4%以及社会经济地位低的受访者中23.2%的测试数据暗示存在心理健康问题。移民比非移民更容易受到影响。结果表明需要尽早发现和预防心理健康问题的出现。尤其必须考虑那些难以接触到的群体,如社会经济地位低的群体或移民。

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