Posserud Maj-Britt, Lundervold Astri J
Department of Child and Adolescent Psychiatry, Haukeland University Hospital, Bergen, Norway.
ScientificWorldJournal. 2013 Apr 4;2013:247283. doi: 10.1155/2013/247283. Print 2013.
We examined the relationship between service use and the number of problem areas as reported by parents and teachers on questionnaires among children aged 7-9 years old in the Bergen Child Study, a total population study including more than 9000 children. A problem area was counted as present if the child scored above the 95th percentile on parent and/or teacher questionnaire. A total number of 13 problem areas were included. Odd ratios (ORs) for contact with child and adolescent mental health services (CAMH), school psychology services (SPS), health visiting nurse/physician, and school support were calculated with gender as covariate. The number of symptom areas was highly predictive of service use, showing a dose-response relationship for all services. Children scoring on ≥4 problem areas had a more than hundredfold risk of being in contact with CAMH services compared to children without problems. The mean number of problem areas for children in CAMH and SPS was 6.1 and 4.4 respectively, strongly supporting the ESSENCE model predicting multisymptomatology in children in specialized services. Even after controlling for number of problem areas, boys were twice as likely as girls to be in contact with CAMH, replicating previous findings of female gender being a strong barrier to mental health services.
在卑尔根儿童研究中，我们调查了7至9岁儿童的服务使用情况与家长和教师在问卷中报告的问题领域数量之间的关系。该研究为一项总人口研究，涵盖9000多名儿童。如果孩子在家长和/或教师问卷上的得分高于第95百分位数，则该问题领域计为存在。总共纳入了13个问题领域。以性别作为协变量，计算了与儿童和青少年心理健康服务（CAMH）、学校心理服务（SPS）、健康访视护士/医生以及学校支持机构接触的比值比（OR）。症状领域的数量对服务使用具有高度预测性，对所有服务均呈现剂量反应关系。与无问题的儿童相比，在≥4个问题领域得分的儿童接触CAMH服务的风险高出一百多倍。接受CAMH和SPS服务的儿童的问题领域平均数量分别为6.1和4.4，有力地支持了ESSENCE模型，该模型预测接受专门服务的儿童存在多种症状。即使在控制了问题领域数量之后，男孩接触CAMH的可能性仍是女孩的两倍，这与之前关于女性性别是心理健康服务的强大障碍的研究结果一致。
