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述评:在评估青少年受教育程度时要注意曲线中的异常点——对 Wickersham 等人(2023 年)的反思。

Commentary: Mind the blip in the curve when assessing educational attainment in youths - a reflection on Wickersham et al. (2023).

机构信息

Department of Child and Adolescent Psychiatry, Copenhagen University Hospital - Psychiatry Region Zealand, Roskilde, Denmark.

Child and Adolescent Mental Health Center, Copenhagen University Hospital - Mental Health Services CPH, Copenhagen, Denmark.

出版信息

J Child Psychol Psychiatry. 2023 Nov;64(11):1628-1630. doi: 10.1111/jcpp.13878. Epub 2023 Aug 6.

Abstract

Dr. Wickersham et al.'s study linked educational and health records providing important knowledge on educational trajectories in youths with mental disorders. They found that youths diagnosed with depression prior to age 18 were more likely to have a decline in educational attainment over time than youths without depression. Furthermore, educational attainment trajectories showed some specificity with different patterns between youths with depression and youths with neurodevelopmental disorders. In this commentary, we highlight the clinical implications of these findings, showing that low or declining educational attainment in youths might serve as a marker for psychopathology, providing the opportunity to identify youths that could benefit from coordinated interventions across diagnostic boundaries.

摘要

威克沙姆博士等人的研究将教育和健康记录联系起来,为患有精神障碍的年轻人的教育轨迹提供了重要的知识。他们发现,18 岁前被诊断患有抑郁症的年轻人随着时间的推移,其受教育程度下降的可能性比没有抑郁症的年轻人更大。此外,教育轨迹表现出一定的特异性,抑郁症患者和神经发育障碍患者之间存在不同的模式。在这篇评论中,我们强调了这些发现的临床意义,表明年轻人中较低或下降的教育程度可能是精神病理学的一个标志,为识别可能受益于跨诊断界限的协调干预的年轻人提供了机会。

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