Szaniecki Eduardo, Barnes Jacqueline
CAMHS, Hertfordshire Partnership NHS Foundation Trust, Watford, UK.
Institute for the Study of Children, Families and Social Issues, Birkbeck, University of London, London, UK.
Child Adolesc Ment Health. 2016 Feb;21(1):64-74. doi: 10.1111/camh.12105. Epub 2015 Apr 23.
Emotional and behavioural problems emerging in very young children can represent a challenge to the child and family and warrant early identification and appropriate support or intervention. Diagnostic systems are being developed that allow for specific difficulties to be identified and this review summarizes them.
This evidenced based review describes the psychometric properties and potential for use in clinical practice of a range of instruments and methods that are available to identify infant mental health difficulties, and which may be suitable for use in primary care settings, including observations, questionnaires and checklists.
While debate continues about whether infant mental health problems can or should be identified, the use of standardized tools may help clinicians to compare observations of infants so that those emerging as atypical can receive additional attention, reflecting a more targeted approach to primary care services.
幼儿出现的情绪和行为问题可能对儿童及其家庭构成挑战，需要早期识别并给予适当的支持或干预。目前正在开发诊断系统，以便能够识别特定的困难，本综述对这些系统进行了总结。
本循证综述描述了一系列可用于识别婴儿心理健康问题的工具和方法的心理测量特性及其在临床实践中的应用潜力，这些工具和方法可能适用于初级保健机构，包括观察法、问卷法和清单法。
尽管关于婴儿心理健康问题是否能够或应该被识别仍存在争议，但使用标准化工具可能有助于临床医生比较对婴儿的观察结果，从而使那些表现异常的婴儿能够得到更多关注，这反映了一种更具针对性的初级保健服务方法。
