Rey Bruguera Mayelin, Calonge Romano Isabel, Martínez Arias María Del Rosario, Thomas Currás Helena
Servicio de Psiquiatría, Hospital Universitario Ramón y Cajal. Madrid. España.
Departamento de Psicología, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos. Madrid. España.
Rev Esp Salud Publica. 2023 Mar 22;97:e202303022.
One in one hundred minors has some mental health problem. Symptomatology varies according to gender. Most research has been conducted with the general population. The objective of this paper was to analyze the moderating role of sex in the presence of internalizing (emotional disorders, anxiety and depression) and externalizing symptomatology (behavioral disorders and hyperactivity) in childhood, as well as to compare the general population with the clinical population.
A descriptive cross-sectional study was conducted with 552 boys and girls between ten and twelve years of age, 94 mental health patients and 458 schoolchildren. Participants completed self-report measures: Strengths and Difficulties Questionnaire (SDQ-Cas), Modified Depression Scale (MDS) and a sociodemographic information questionnaire. For data analysis, descriptive statistics and multivariate and univariate mean comparisons were performed by parametric and re-sampling procedures.
Statistically significant differences were observed between clinical and school population groups in externalizing, internalizing and depressive symptomatology (p<0.001). No sex differences were found in externalizing and depressive symptomatology. Sex differences were found in internalizing symptoms (p<0.001, p<0.001) as well as group interaction effects (p=0.016), girls had higher scores than boys, with greater differences in the clinical group (p<0.001, p=0.003).
Research with mental health patients is essential to verify the existence or not of differences with the general population as well as differences by sex, which will allow adapting preventive and intervention strategies to each case.
每一百名未成年人中就有一人存在某种心理健康问题。症状表现因性别而异。大多数研究是针对普通人群开展的。本文的目的是分析性别在儿童内化症状(情绪障碍、焦虑和抑郁)和外化症状(行为障碍和多动)出现过程中的调节作用,并将普通人群与临床人群进行比较。
对552名10至12岁的男孩和女孩、94名心理健康患者以及458名学童进行了描述性横断面研究。参与者完成了自我报告测量:优势与困难问卷(SDQ-Cas)、改良抑郁量表(MDS)以及一份社会人口学信息问卷。对于数据分析,采用参数和重抽样程序进行描述性统计以及多变量和单变量均值比较。
在临床人群组和学校人群组之间,在外化症状、内化症状和抑郁症状方面观察到了具有统计学意义的差异(p<0.001)。在外化症状和抑郁症状方面未发现性别差异。在内化症状方面发现了性别差异(p<0.001,p<0.001)以及组间交互效应(p=0.016),女孩的得分高于男孩,在临床组中差异更大(p<0.001,p=0.003)。
对心理健康患者进行研究对于验证与普通人群之间是否存在差异以及性别差异至关重要,这将有助于针对每个案例调整预防和干预策略。