Teerikangas O M, Aronen E T, Martin R P, Huttunen M O
Department of Child Psychiatry, Hospital for Children and Adolescents, University of Helsinki, Finland.
J Am Acad Child Adolesc Psychiatry. 1998 Oct;37(10):1070-6. doi: 10.1097/00004583-199810000-00017.
To evaluate effects of infant temperament traits and early home-based intervention on psychiatric symptoms in adolescence.
The sample comprised 100 children born in 1975-1976. The families of 54 children received family counseling during the first 5 years of the child's life (10 times/year); 46 children served as a control group for counseling. At age 6 months the infants' temperament traits were evaluated by the Carey Infant Temperament Questionnaire filled out by the mother. At age 14 to 15 years the psychiatric symptoms of the adolescents were assessed by the Child Behavior Checklist and the Youth Self-Report.
A fussy/demanding temperament in infancy was found to predict psychiatric symptoms in adolescence. A family counseling program during infancy protected subjects from developing psychiatric symptoms in adolescence.
It may be possible to improve the psychosocial prognosis of children at temperamental risk by home-based intervention focused on parent-child interaction.
评估婴儿气质特征和早期家庭干预对青少年精神症状的影响。
样本包括1975 - 1976年出生的100名儿童。54名儿童的家庭在孩子出生后的前5年接受了家庭咨询(每年10次);46名儿童作为咨询对照组。在6个月大时,由母亲填写的凯里婴儿气质问卷对婴儿的气质特征进行评估。在14至15岁时,通过儿童行为检查表和青少年自我报告对青少年的精神症状进行评估。
发现婴儿期烦躁/苛求的气质可预测青少年期的精神症状。婴儿期的家庭咨询项目可保护受试者在青少年期不出现精神症状。
通过以亲子互动为重点的家庭干预,有可能改善具有气质风险儿童的心理社会预后。