参与度变化与儿童后期心理健康问题的关系。
Relationship Between Change in Participation and Later Mental Health Problems in Children.
机构信息
The Hong Kong Polytechnic University, Hong Kong Special Administrative Region, China.
出版信息
OTJR (Thorofare N J). 2024 Oct;44(4):577-588. doi: 10.1177/15394492231216663. Epub 2024 Jan 2.
BACKGROUND
Participation in everyday activities is beneficial for mental health. However, little is known about the extent to which changes in children's participation are associated with later mental health.
OBJECTIVES
To investigate the association between changes in the frequency and involvement in home, school, and community activities and subsequent mental health problems in children. We recruited 242 school-aged children. Their parents completed the Participation and Environment Measure for Children and Youth twice, and after 2 years, they completed the Strengths and Difficulties Questionnaire.
RESULTS
After controlling for demographic factors, hierarchical regression analysis revealed that reductions in children's involvement in home and community activities were significantly associated with elevated levels of externalizing and internalizing problems. Furthermore, an increase in children's involvement in school activities showed significant relationships with better mental health outcomes.
CONCLUSION
These findings inform participation-based interventions for occupational therapists aimed at mitigating children's future mental health problems.
背景
参与日常活动有益于心理健康。然而，人们对于儿童参与度的变化与之后心理健康问题之间的关联程度知之甚少。
目的
研究儿童参与家庭、学校和社区活动的频率和程度的变化与之后的心理健康问题之间的关联。我们招募了 242 名学龄儿童。他们的父母两次完成了《儿童和青少年参与及环境测量表》，两年后，他们完成了《长处和困难问卷》。
结果
在控制了人口统计学因素后，分层回归分析显示，儿童对家庭和社区活动的参与度下降与外化和内化问题的严重程度显著相关。此外，儿童对学校活动的参与度增加与更好的心理健康结果呈显著关系。
结论
这些发现为职业治疗师提供了基于参与的干预措施的信息，旨在减轻儿童未来的心理健康问题。
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