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18岁时的儿童精神病理学与连贯感:来自芬兰“从男孩到男人”研究的结果

Childhood psychopathology and sense of coherence at age 18: findings from the Finnish from a boy to a man study.

作者信息

Ristkari Terja, Sourander Andre, Rønning John A, Piha Jorma, Kumpulainen Kirsti, Tamminen Tuula, Moilanen Irma, Almqvist Fredrik

机构信息

Deapartment of Psychiatry, Turku University, Turku, Finland.

出版信息

Soc Psychiatry Psychiatr Epidemiol. 2009 Dec;44(12):1097-105. doi: 10.1007/s00127-009-0032-6. Epub 2009 Mar 31.

Abstract

OBJECTIVE

To examine associations between childhood psychopathology and family factors at age 8, and sense of coherence (SOC) at age 18.

METHODS

The sample includes 2,314 Finnish boys born 1981 with information about psychopathology from parents and teachers using Rutter scales, and self-reports of depressive symptoms using Child Depression Inventory (CDI), and self-reports of SOC at age 18.

RESULTS

Low parental education level and living in other than two biological parent family at age 8 were associated with low SOC 10 years later. Boys with internalizing symptoms based on parent/teacher reports, and depressive symptoms based on self-reports at age 8 were at risk for lower SOC at follow-up. Comorbidity of internalizing and conduct problems had the strongest association with low SOC.

CONCLUSION

The study shows that internalizing symptoms, comorbid conduct and emotional problems, low parental education level and nonintact family at age 8 predict low SOC at age 18. Future research whether universal, selective or indicated early interventions targeted on risk factors of childhood mental health problems may result in promotion of well-being (including good SOC) in early adulthood is warranted.

摘要

目的

研究8岁时儿童精神病理学与家庭因素之间的关联,以及18岁时的心理一致感(SOC)。

方法

样本包括2314名1981年出生的芬兰男孩,有来自父母和教师使用Rutter量表提供的精神病理学信息、使用儿童抑郁量表(CDI)的抑郁症状自我报告,以及18岁时的心理一致感自我报告。

结果

8岁时父母教育水平低以及生活在非双亲家庭与10年后较低的心理一致感相关。根据父母/教师报告有内化症状以及8岁时根据自我报告有抑郁症状的男孩在随访时心理一致感较低的风险较高。内化问题与品行问题的共病与低心理一致感的关联最强。

结论

研究表明,内化症状、共病的品行和情绪问题、父母教育水平低以及8岁时家庭不完整可预测18岁时心理一致感较低。有必要开展未来研究,探讨针对儿童心理健康问题风险因素的普遍、选择性或针对性早期干预是否可能促进成年早期的幸福感(包括良好的心理一致感)。

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