邵红敏,徐改玲,王长虹,陈征,田红军,李洁.河南省某地区初中生情绪和行为相关障碍的诊断变化——1年随访[J].四川精神卫生杂志,2020,33(3):272-276.
河南省某地区初中生情绪和行为相关障碍的诊断变化——1年随访
Changes in the diagnosis of emotional and behavioral disorders in middle high school students in Henan province: one year follow-up
投稿时间:2020-03-27  
DOI:10.11886/scjsws20190709003
中文关键词:  情绪和行为相关障碍  青少年  随访  诊断变化
英文关键词:Emotional and behavioral disorder  Adolescent  Follow up  Diagnosis change
基金项目:
作者单位邮编
邵红敏 天津市滨海新区汉沽街社区卫生服务中心天津 300480 300480
徐改玲 天津市安定医院天津 300222 300222
王长虹 河南新乡医学院第二附属医院河南 新乡 453000 453000
陈征 天津市安定医院天津 300222 300222
田红军 天津市安定医院天津 300222 300222
李洁 天津市安定医院天津 300222 300222
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中文摘要:
      目的 研究青少年情绪和行为相关障碍在1年内出现的诊断变化情况。方法 于2015年4月采用整群随机抽样方法,从河南省唐河县城郊乡和舞阳县文烽乡的两所中学的初一、初二年级抽取34个班共1 500名学生,采用长处和困难筛查问卷(学生版)(SDQ)进行筛查,对334例筛查阳性者依据《精神障碍诊断与统计手册(第5版)》(DSM-5)进行诊断,符合入组标准共75例,共64例完成随访,并于半年后和1年后进行两次随访,再次依据DSM-5进行诊断。结果 9例注意缺陷/多动障碍患者中的3例、12例抑郁障碍患者中的5例、34例焦虑障碍患者中的4例、3例创伤及应激相关障碍中的2例出现诊断变化;其中抑郁障碍比焦虑障碍诊断变化更明显(P=0.039),多转变为强迫障碍、环性心境障碍、破坏性心境失调等。结论 青少年抑郁障碍诊断易出现变化,注意缺陷/多动障碍、抑郁障碍的诊断分别预示其以后更易患上焦虑障碍、双相情感障碍。
英文摘要:
      Objective To study the changes in the diagnosis of emotional and behavioral disorders in adolescents over one-year period.Methods In April 2015, cluster random sampling method was used to select 1 500 students from 34 classes of grade 1 and grade 2 in two middle schools in Henan province. All the selected adolescents were assessed using Strengths and Difficulties Questionnaire (SDQ), and 334 cases with positive results were further diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5). A total of 75 adolescents met the final inclusion criteria, and 64 of whom completed the follow-up. During the follow-up period, patients received re-diagnosis according to DSM-5 at half and one year later, respectively.Results 3 of 9 attention deficit/hyperactivity disorder patients, 5 of 12 depressive disorder patients, 4 of 34 anxiety disorder patients, and 2 of 3 posttraumatic stress disorder and stress-related disorder patients had diagnostic changes. Depressive disorders had more diagnostic changes than that of anxiety disorders (P=0.039), and most turned into obsessive-compulsive disorder, cyclothymic disorder or disruptive mood dysregulation disorder during the prognosis process.Conclusion The diagnosis of depressive disorder in adolescents is unsettled, and those with attention deficit/hyperactivity disorder and depressive disorder are more likely to develop anxiety disorder and bipolar disorder in the future.
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