Farmer A, Markus A
J R Coll Gen Pract. 1986 Dec;36(293):552-4.
A study was designed to test the opinion that teenagers at risk of psychological disturbance can be identified on the basis of their family background. A copy of the general health questionnaire (28-question version) was sent to 322 17- and 18-year-olds registered with a semi-rural group practice. The records of all the 195 teenagers who replied, and those of their parents, brothers and sisters were examined and any record of chronic illness and psychological or social problems noted. Teenagers with family disruption, legal difficulties, parental marital problems or maternal psychiatric disorder recorded in the medical notes of their families were significantly more likely to have a high score on the general health questionnaire than those without such a record. Teenagers with high scores had attended the surgery more frequently during the previous year than those with low scores. Further work may enable more precise recording of family problems and enable a group at high risk of developing distressing psychological symptoms to be clearly identified. By early identification of this group, the general practitioner may be in a position either to prevent problems arising, or to intervene more effectively if a crisis develops.
有心理障碍风险的青少年可以根据其家庭背景来识别。一份通用健康问卷（28题版本）被寄给了在一个半乡村团体诊所登记的322名17岁和18岁青少年。对回复问卷的195名青少年及其父母、兄弟姐妹的记录进行了检查，并记录下任何慢性病以及心理或社会问题。在其家庭医疗记录中有家庭破裂、法律问题、父母婚姻问题或母亲精神疾病记录的青少年，在通用健康问卷上获得高分的可能性显著高于没有此类记录的青少年。高分青少年在前一年比低分青少年更频繁地就诊。进一步的研究可能会使家庭问题的记录更加精确，并能够明确识别出有出现令人痛苦的心理症状高风险的群体。通过早期识别这个群体，全科医生或许能够预防问题的出现，或者在危机出现时更有效地进行干预。
