学业成就：精神疾病的一个预测指标？
Academic attainment: a predictor of psychiatric disorders?
作者信息
Chong Siow Ann, Subramaniam Mythily, Lee I-Min, Pek Elaine, Cheok Christopher, Verma Swapna, Wong John
机构信息
Institute of Mental Health, Buangkok Green Medical Park, 10 Buangkok View, Singapore, 539747, Singapore.
出版信息
Soc Psychiatry Psychiatr Epidemiol. 2009 Nov;44(11):999-1004. doi: 10.1007/s00127-009-0027-3. Epub 2009 Mar 18.
AIM
Poor academic performance can reflect the neurobiological abnormalities underlying schizophrenia and has been suggested as a premorbid marker for the disorder. However, it is not clear as to how academic performance compares as a marker for other mental disorders. The objective of this study was to examine whether educational attainment is a candidate marker for certain psychiatric disorders.
METHODS
Using a retrospective cohort design, we compared the early educational performance of 6957 National Service male conscripts. The presence of mental illness was assessed using the Composite International Diagnostic Interview. Academic performance was assessed using the results of a standardized national examination after 6 years of primary education.
RESULTS
Adjusting for ethnicity, the scores from this examination revealed that those with schizophrenia spectrum disorders scored significantly lower than those without any mental illness.
CONCLUSIONS
Poor educational attainment predicts the onset of schizophrenia spectrum disorders and could be a possible predictor for this specific group of mental illness.
目的
学业成绩不佳可反映精神分裂症潜在的神经生物学异常，且已被视为该疾病的病前标志物。然而，学业成绩作为其他精神障碍的标志物，其比较情况尚不清楚。本研究的目的是检验教育程度是否为某些精神障碍的候选标志物。
方法
采用回顾性队列设计，我们比较了6957名义务兵役男性新兵的早期教育表现。使用复合国际诊断访谈评估精神疾病的存在情况。使用小学6年后的标准化国家考试结果评估学业成绩。
结果
在对种族进行调整后，此次考试的分数显示，患有精神分裂症谱系障碍的新兵得分显著低于没有任何精神疾病的新兵。
结论
教育程度低可预测精神分裂症谱系障碍的发病，并且可能是这一特定精神疾病群体的一个潜在预测指标。
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