Alavi Nazanin, Roberts Nasreen, DeGrace Elizabeth
Department of Psychiatry, Queen's University, Kingston, Ontario.
Department of Child and Adolescent Psychiatry, Queen's University, Kingston, Ontario.
Int J Adolesc Med Health. 2017 Apr 1;29(2). doi: 10.1515/ijamh-2015-0049.
This study aimed to: (a) examine parental socio-demographic factors in children and adolescents referred to an outpatient service for internalizing and externalizing disorders, and (b) compare the demographic variables and diagnoses for the two diagnostic groups.
Parents of all children who were referred to the child and adolescent outpatient service were asked to participate. Following their informed consent, they completed a socio-demographic questionnaire for themselves and a Child Behaviour Checklist (CBCL) for their child. The CBCL scores and the diagnoses assigned by the psychiatrists were then recorded for each child. Diagnoses were classified as internalizing or externalizing based on the primary DSM-IV diagnosis assigned by the psychiatrists. Data for the two groups were compared for study variables using Pearson correlation, t-tests, one-way ANOVA and logistic regression.
Children who had externalizing disorders tended to live with unemployed single parents who had lower education levels and lived in rented or assisted housing. Children with internalizing problems tended to live in owned homes with employed parents. There was no significant association between age or gender for either group.
Previous literature has reported an association between low SES and more mental health problems; however, the relationship between different indicators of SES and diagnosis is not clear. Despite small numbers, our study revealed significant differences between the parental socio-demographic factors for externalizing compared with internalizing disorders.
本研究旨在：(a) 调查转至门诊接受内化性和外化性障碍治疗的儿童及青少年的父母社会人口学因素，以及 (b) 比较这两个诊断组的人口统计学变量和诊断情况。
所有转至儿童及青少年门诊的儿童的父母均被邀请参与。在获得他们的知情同意后，他们为自己填写了一份社会人口学问卷，并为孩子填写了一份儿童行为清单（CBCL）。然后记录每个孩子的CBCL分数以及精神科医生给出的诊断。根据精神科医生给出的主要DSM-IV诊断，将诊断分为内化性或外化性。使用Pearson相关性分析、t检验、单因素方差分析和逻辑回归对两组数据的研究变量进行比较。
患有外化性障碍的儿童往往与教育水平较低、失业的单亲父母生活在一起，居住在出租房或保障性住房中。有内化性问题的儿童往往与有工作的父母住在自有住房中。两组在年龄或性别方面均无显著关联。
以往文献报道社会经济地位较低与更多心理健康问题之间存在关联；然而，社会经济地位的不同指标与诊断之间的关系尚不清楚。尽管样本数量较少，但我们的研究揭示了外化性障碍与内化性障碍在父母社会人口学因素方面的显著差异。
