什么因素可以预测持续的早期行为问题？来自苏格兰成长队列研究的证据。
What predicts persistent early conduct problems? Evidence from the Growing Up in Scotland cohort.
机构信息
Institute of Health and Wellbeing, University of Glasgow, Caledonia House, Royal Hospital for Sick Children, Glasgow G3 8SJ, UK.
出版信息
J Epidemiol Community Health. 2013 Jan;67(1):76-80. doi: 10.1136/jech-2011-200856. Epub 2012 Jul 27.
BACKGROUND
There is a strong case for early identification of factors predicting life-course-persistent conduct disorder. The authors aimed to identify factors associated with repeated parental reports of preschool conduct problems.
METHOD
Nested case-control study of Scottish children who had behavioural data reported by parents at 3, 4 and 5 years.
RESULTS
79 children had abnormal conduct scores at all three time points ('persistent conduct problems') and 434 at one or two points ('inconsistent conduct problems'). 1557 children never had abnormal scores. Compared with children with no conduct problems, children with reported problems were significantly more likely to have mothers who smoked during pregnancy. They were less likely to be living with both parents and more likely to be in poor general health, to have difficulty being understood, to have a parent who agrees that smacking is sometimes necessary and to be taken to visit other people with children rarely. The results for children with persistent and inconsistent conduct problems were similar, but associations with poverty and maternal smoking were significantly less strong in the inconsistent group.
CONCLUSION
These factors may be valuable in early identification of risk of major social difficulties.
背景
早期识别预测终生品行障碍的因素是非常重要的。作者旨在确定与学龄前行为问题反复出现相关的因素。
方法
对苏格兰儿童进行嵌套病例对照研究，这些儿童在 3、4 和 5 岁时由父母报告行为数据。
结果
79 名儿童在所有三个时间点的行为评分异常（“持续性品行问题”），434 名儿童在一个或两个时间点的行为评分异常（“不一致的品行问题”）。1557 名儿童从未有过异常评分。与无行为问题的儿童相比，有报告问题的儿童的母亲在怀孕期间吸烟的可能性明显更高。他们更不可能与父母双方一起生活，更可能健康状况不佳，难以被人理解，他们的父母中有一方认为打屁股有时是必要的，并且很少带他们去拜访有孩子的人。持续性和不一致性品行问题儿童的结果相似，但在不一致性组中，与贫困和母亲吸烟的关联明显较弱。
结论
这些因素可能有助于早期识别严重社交困难的风险。
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