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儿童课外活动时间与发展性残疾青年心理健康的关系。

Time in childhood extracurricular activity and mental health of young adults with developmental disability.

机构信息

Public Health Sciences, Department of Public Health Sciences, University of North Carolina at Charlotte, 9201 University City Boulevard, Charlotte, NC, 28223, USA.

出版信息

Disabil Health J. 2024 Oct;17(4):101671. doi: 10.1016/j.dhjo.2024.101671. Epub 2024 Jul 5.

Abstract

BACKGROUND

People with developmental disability have higher rates of mental health problems such as anxiety, depression, psychological distress, or a limited sense of belonging to a community. Extracurricular activity can help children and adolescents build social connections beyond family, increasing social capital, which may promote mental health in the transition into adulthood. Little is known about such associations among people with developmental disability.

OBJECTIVE

To examine associations of childhood extracurricular activity with mental health in young adulthood among people with and without developmental disability.

METHODS

Data: Panel Study of Income Dynamics (PSID, 1968-2017), its Child Development Supplement (1997, 2002, 2007) and its Transition into Adulthood Supplement (2005-2019) (n = 2801). Time diaries measured time in activity. Outcomes were psychological distress (Kessler K6) and flourishing (Mental Health Continuum-Short Form). Adjusted linear regressions modeled associations.

RESULTS

In nationally representative results, 9.6 % (95 % confidence interval, CI 7.8, 11.4) had a disability. Children without disability reported more average weekly time in group activity, 125.1 min (CI 113.2, 136.9) vs. 93.6 (CI 55.1, 132.0; not significant at conventional levels). In adjusted results, "some" group activity (0-180 weekly minutes) was associated with greater flourishing for those with developmental disability (0.89; CI 0.16, 1.61).

CONCLUSION

Among people with developmental disability, group activity in childhood was associated with greater flourishing in young adulthood. More research is needed to understand the complex nature of activity participation for children with developmental disabilities.

摘要

背景

发育障碍者的心理健康问题(如焦虑、抑郁、心理困扰或对社区归属感的限制)发生率较高。课外活动可以帮助儿童和青少年建立超越家庭的社会联系,增加社会资本,这可能会促进他们在成年过渡期的心理健康。关于发育障碍者的此类关联,人们知之甚少。

目的

研究发育障碍者和非发育障碍者童年课外活动与成年早期心理健康之间的关联。

方法

数据来源:收入动态面板研究(PSID,1968-2017 年)、其儿童发展补充调查(1997 年、2002 年、2007 年)及其成年过渡期补充调查(2005-2019 年)(n=2801)。时间日记记录了活动时间。结果为心理困扰(Kessler K6)和幸福感(心理健康连续体-短式)。调整后的线性回归模型用于关联分析。

结果

在全国代表性结果中,有 9.6%(95%置信区间 7.8%,11.4%)的人有残疾。无残疾儿童报告的每周平均团体活动时间较多,为 125.1 分钟(95%置信区间 113.2 分钟,136.9 分钟),而残疾儿童为 93.6 分钟(95%置信区间 55.1 分钟,132.0 分钟;在常规水平上无显著差异)。在调整后的结果中,对于发育障碍者,“一些”团体活动(每周 0-180 分钟)与更高的幸福感相关(0.89;95%置信区间 0.16,1.61)。

结论

在发育障碍者中,童年时期的团体活动与成年早期的幸福感呈正相关。需要进一步研究来了解发育障碍儿童参与活动的复杂性质。

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