Harris John, Lord Chris
Royal London Society for Blind People (RLSB), London, UK.
National Centre for Social Research (NatCen), London, UK.
Dev Med Child Neurol. 2016 Jul;58(7):774-9. doi: 10.1111/dmcn.13032. Epub 2016 Mar 7.
The purpose of the study was to compare the risk of psychiatric disturbance among sighted and vision-impaired children aged 11 years.
Scores from the parent and teacher versions of the Strengths and Difficulties Questionnaire (SDQ) were used to compare sighted children with: vision-impaired children; vision-impaired children with no other reported disabilities or special educational needs; and children with vision impairment and additional disabilities or special educational needs. Logistic regression was used to measure the associations between the independent variables and SDQ scores, and to test for significance of the observed differences.
Both parents and teachers scored vision-impaired children significantly higher on the SDQ compared with sighted children (p≤0.000) and a significantly higher proportion of the vision-impaired children had SDQ scores in the abnormal range (p≤0.000). Children with vision impairment and other disabilities or special educational needs were rated as being at greatest risk of psychiatric disorder by both parents (30%) and teachers (22%).
Vision impairment among children as young as 11 years of age is associated with an increased risk of psychiatric disorder.
本研究旨在比较11岁视力正常和视力受损儿童出现精神障碍的风险。
使用优势与困难问卷（SDQ）家长版和教师版的得分，将视力正常儿童与以下儿童进行比较：视力受损儿童；未报告有其他残疾或特殊教育需求的视力受损儿童；有视力障碍且伴有其他残疾或特殊教育需求的儿童。采用逻辑回归分析来衡量自变量与SDQ得分之间的关联，并检验观察到的差异是否具有显著性。
与视力正常儿童相比，家长和教师对视力受损儿童的SDQ评分均显著更高（p≤0.000），且视力受损儿童中SDQ得分处于异常范围的比例显著更高（p≤0.00０）。有视力障碍且伴有其他残疾或特殊教育需求的儿童，被家长（30%）和教师（22%）评定为患精神疾病风险最高。
年仅11岁的儿童视力障碍与精神疾病风险增加有关。
