Center of Research on Psychology in Somatic diseases (CoRPS), Department of Medical Psychology, Tilburg University, The Netherlands.
Epidemiol Psychiatr Sci. 2011 Dec;20(4):357-65. doi: 10.1017/s2045796011000540.
To determine the prevalence of psychosocial problems among Dutch children aged 8-12 years and studying its association with risk factors and quality of life.
This study was conducted within the framework of a community-based health study in the north-west region of the Netherlands. The cross-sectional study sample consisted of 2703 children (1392 boys and 1311 girls). Psychosocial problems and quality of life were measured with the extended version of the Strengths and Difficulties Questionnaire (SDQ) and KIDSCREEN-10, respectively. Questionnaires and data about risk factors (parental education level, ethnicity, family structure, income, chronic diseases and life events) were completed by the parents or caregivers.
The prevalence of psychosocial problems (SDQ score > or =14) in the total sample was 10.4%. The prevalence was higher in boys compared with girls (13.9% v. 6.6%, OR= 2.28; 95% CI = 1.75-2.97). Boys had significantly more hyperactivity/inattention, conduct, peer relationship and prosocial behaviour problems compared with girls. Risk factors associated with psychosocial problems were: one or more chronic disease(s), life event(s), a low parental educational level (for boys only) and an income under a modal level. Psychosocial problems were significantly inverse related with quality of life in the total sample (rho = -0.47).
Psychosocial problems are common in children, especially among boys, and are inversely related with children's quality of life. The identified risk factors in this study can be useful for developing targeted prevention strategies aimed at children at high risk for psychosocial problems.
确定荷兰 8-12 岁儿童的心理社会问题发生率，并研究其与风险因素和生活质量的关系。
本研究是在荷兰西北部的一项基于社区的健康研究框架内进行的。横断面研究样本包括 2703 名儿童（1392 名男孩和 1311 名女孩）。使用扩展版的长处和困难问卷（SDQ）和 KIDSCREEN-10 分别测量心理社会问题和生活质量。父母或照顾者填写问卷和有关风险因素（父母教育程度、种族、家庭结构、收入、慢性疾病和生活事件）的数据。
总样本中存在心理社会问题（SDQ 得分≥14）的比例为 10.4%。男孩的患病率高于女孩（13.9%比 6.6%，OR=2.28；95%CI=1.75-2.97）。与女孩相比，男孩的多动/注意力不集中、品行、同伴关系和亲社会行为问题明显更多。与心理社会问题相关的风险因素包括：一种或多种慢性疾病、生活事件、父母教育程度低（仅男孩）和收入低于中间水平。心理社会问题与总样本的生活质量呈显著负相关（rho=-0.47）。
心理社会问题在儿童中很常见，尤其是男孩，并且与儿童的生活质量呈负相关。本研究确定的风险因素可用于制定针对心理社会问题高风险儿童的有针对性的预防策略。
