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儿童心理健康中心收养儿童与非收养儿童的人口统计学、临床特征及治疗情况比较。

A comparison of the demography, clinical profile and treatment of adopted and non adopted children at a children's mental health centre.

作者信息

Jerome L

机构信息

Children's Psychiatric Research Institute, London, Ontario.

出版信息

Can J Psychiatry. 1993 May;38(4):290-4. doi: 10.1177/070674379303800412.

DOI:10.1177/070674379303800412
PMID:8518983
Abstract

A retrospective analysis of adopted and non adopted children attending a children's mental health centre between 1959 and 1973 indicated a higher than expected number of males and a significantly higher number of professional fathers than expected in the adopted group. A sub-group of adopted children identified as having learning problems by reports of the parents and teachers had a different pattern of test scores on the Wechsler Intelligence Scale for Children from a non adopted group, who were also selected for learning difficulties. On the parent's and clinician's ratings, the adopted group had more parent-identified hyperactivity symptoms and clinicians' diagnoses of hyperactivity. Treatment data indicated that they used more stimulant medication; this was particularly significant for the early adoptees. The early adoptees were considered to be more hyperactive by their parents than the late adoptees. The late adoptees were more impaired on psychometric testing than those placed early, before six months of age. These findings are discussed in relation to possible explanations for the higher than expected prevalence of adoptees seen in clinical populations.

摘要

一项对1959年至1973年间在一家儿童心理健康中心就诊的领养儿童和非领养儿童的回顾性分析表明,领养组中男性数量高于预期,且职业父亲的数量显著高于预期。根据家长和教师报告被确定有学习问题的领养儿童亚组,在韦氏儿童智力量表上的测试分数模式与同样因学习困难而被挑选出的非领养儿童组不同。在家长和临床医生的评定中,领养组有更多家长认定的多动症状以及临床医生诊断的多动症。治疗数据表明他们使用了更多的兴奋剂药物;这对早期领养儿童尤为显著。家长认为早期领养儿童比晚期领养儿童更多动。晚期领养儿童在心理测试中的受损程度比那些在六个月龄前就被安置的早期领养儿童更大。针对临床人群中领养儿童患病率高于预期的可能原因,对这些发现进行了讨论。

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