Galler J R, Ramsey F
J Am Acad Child Adolesc Psychiatry. 1989 Mar;28(2):254-61. doi: 10.1097/00004583-198903000-00018.
A follow-up study of home and classroom behavior was conducted on 216 children, 9 through 15 years of age, half of whom had histories of moderate-severe protein energy malnutrition (marasmus) during the first year of life. Behavior was measured by two rating scales, administered to teachers and parents of the children. Observations made by teachers and parents were significantly correlated on 33% of the 41 overlapping items in the two questionnaires. The history of malnutrition had a significant association with attention deficits in children up to 15 years reported by parents and teachers, even when the effects of socioeconomic and home environmental factors were controlled. It was concluded that interventions specifically focussed on these attentional deficits should be considered early in life for children exposed to infantile malnutrition in order to prevent behavioral disorders in adolescence.
对216名9至15岁的儿童进行了一项关于家庭和课堂行为的随访研究，其中一半儿童在生命的第一年有中度至重度蛋白质能量营养不良（消瘦症）病史。行为通过两种评定量表进行测量，分别由儿童的教师和家长填写。在两份问卷中41项重叠项目里，教师和家长所做的观察有33%显著相关。即使在控制了社会经济和家庭环境因素的影响后，营养不良史与家长和教师报告的15岁以下儿童的注意力缺陷仍有显著关联。研究得出结论，对于有婴儿期营养不良经历的儿童，应在生命早期就考虑针对这些注意力缺陷进行干预，以预防青春期的行为障碍。
