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轻度至边缘智力障碍青少年在住院治疗内外的焦虑和抑郁症状患病率及病程

Prevalence and Course of Anxiety and Depressive Symptoms in Adolescents With a Mild to Borderline Intellectual Disability, Inside and Outside Residential Treatment.

作者信息

Westera Johanna J, van der Molen Mariët J, Schuengel Carlo

机构信息

's Heeren Loo Zorggroep, Advisium Groot Emaus, Ermelo, the Netherlands.

Faculty of Behavioural and Movement Sciences, Vrije Universiteit, Amsterdam, the Netherlands.

出版信息

J Intellect Disabil Res. 2025 Jul;69(7):592-604. doi: 10.1111/jir.13242. Epub 2025 Apr 27.

DOI:10.1111/jir.13242
PMID:40288419
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12198098/
Abstract

BACKGROUND

This study compared anxiety and depressive problems in adolescents with a mild to borderline intellectual disability in a residential treatment facility (MBID-RT) to those in the general community (MBID-GC).

METHOD

Participants (N = 923, aged 11.9-19.3 years, M = 14.6 years, SD = 1.51, 42% girls) completed measures on anxiety and depressive problems. Part of this group (n = 155) participated twice, roughly 1 year apart.

RESULTS

Adolescents in the MBID-RT subgroup reported statistically more anxiety and depressive problems (higher average scores, higher percentages above cut-off scores and higher percentage of comorbid anxiety and depressive symptoms). Over a 1-year period, anxiety and depressive symptoms decreased in the MBID-GC subgroup but not in the MBID-RT subgroup.

CONCLUSIONS

Findings call attention to the high prevalence of anxiety and depressive symptoms in adolescents with MBID in general, and those in residential treatment in particular, especially when externalising problems may be on the foreground.

摘要

背景

本研究比较了在寄宿治疗机构中的轻度至边缘智力障碍青少年(MBID-RT)与普通社区中的轻度至边缘智力障碍青少年(MBID-GC)的焦虑和抑郁问题。

方法

参与者(N = 923,年龄11.9 - 19.3岁,平均年龄M = 14.6岁,标准差SD = 1.51,42%为女孩)完成了关于焦虑和抑郁问题的测量。该组中的一部分(n = 155)大约相隔1年进行了两次参与。

结果

MBID-RT亚组的青少年在统计学上报告了更多的焦虑和抑郁问题(平均得分更高、高于临界分数的百分比更高以及焦虑和抑郁症状共病的百分比更高)。在1年的时间里,MBID-GC亚组的焦虑和抑郁症状有所下降,但MBID-RT亚组没有。

结论

研究结果提醒人们注意,一般而言,患有MBID的青少年,尤其是接受寄宿治疗的青少年中,焦虑和抑郁症状的高患病率,特别是在可能突出外化问题的情况下。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8528/12198098/4a55a1b99408/JIR-69-592-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8528/12198098/4a55a1b99408/JIR-69-592-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8528/12198098/4a55a1b99408/JIR-69-592-g001.jpg

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