Kovess Masfety Viviane, Lesinskiene Sigita, Husky Mathilde M, Boyd Anders, Ha Phuong, Fermanian Christophe, Pez Ondine
EA 4057 Paris Descartes University, Ecole des Hautes Etudes de Santé Publique (EHESP), Paris, France.
Psychiatry Clinic, School of Medicine, University of Vilnius, Vilnius, Lithuania.
Compr Psychiatry. 2017 Feb;73:15-22. doi: 10.1016/j.comppsych.2016.10.010. Epub 2016 Oct 26.
We compare the mental health status of children who reside in Lithuania with parents who are either Lithuanian nationals or non-Lithuanian nationals.
Data were drawn from the School Child Mental Health Europe survey (SCMHE), a cross-sectional survey of school children aged 6-11years. A total of 1152 Lithuanian children participated, among them 11.7% from a non-Lithuanian family. Child mental health was assessed using the Dominique Interactive (DI) and the parent- and teacher Strength and Difficulties Questionnaire (SDQ). Parental attitudes were evaluated, and socio-demographics were collected.
Overall 26.7% of non-Lithuanian versus 17.2% of Lithuanian children reported having an internalizing disorder (p=0.01) mainly due to separation anxiety (16.4% versus 10.2%, p=0.04). Odds ratio (OR) for child-reported internalizing disorders was 1.86 (95% CI=1.17-2.96) once adjusted for other factors including being a girl, to be younger, parental unemployment and low caring and low autonomy parental attitudes which were associated with greater odds of internalizing disorders. In addition, 31.9% of non-Lithuanian reported suicidal thoughts versus 22.0% of Lithuanian children p=.02); OR=1.60 (95% CI=1.04-2.46) once adjusted for single parent, parental unemployment, parental alcohol problems and overreactivity attitude.
Being a non-national minority in Lithuania is a risk factor for child mental health. These findings suggest that further studies are needed to inform local policy-makers on targeted prevention and intervention programs in these children.
我们比较了居住在立陶宛的父母为立陶宛公民或非立陶宛公民的儿童的心理健康状况。
数据来自欧洲学龄儿童心理健康调查（SCMHE），这是一项针对6至11岁学龄儿童的横断面调查。共有1152名立陶宛儿童参与，其中11.7%来自非立陶宛家庭。使用多米尼克互动量表（DI）以及家长和教师版的长处与困难问卷（SDQ）评估儿童心理健康。评估了父母的态度，并收集了社会人口统计学信息。
总体而言，26.7%的非立陶宛儿童与17.2%的立陶宛儿童报告有内化障碍（p = 0.01），主要原因是分离焦虑（16.4%对10.2%，p = 0.04）。在对包括女孩、年龄较小、父母失业以及父母关爱少和自主性低等其他因素进行调整后，儿童报告的内化障碍的优势比（OR）为1.86（95%置信区间=1.17 - 2.96），这些因素与内化障碍的较高几率相关。此外，31.9%的非立陶宛儿童报告有自杀念头，而立陶宛儿童为22.0%（p = 0.02）；在对单亲、父母失业、父母酗酒问题和过度反应态度进行调整后，OR = 1.60（95%置信区间=1.04 - 2.46）。
在立陶宛作为非本国少数民族是儿童心理健康的一个风险因素。这些发现表明需要进一步研究，以便为当地政策制定者提供有关针对这些儿童的有针对性的预防和干预项目的信息。
