| Shao Hongmin,Xu Gailing,Wang Changhong,Chen Zheng,Tian Hongjun,Li Jie,Changes in the diagnosis of emotional and behavioral disorders in middle high school students in Henan province: one year follow-up[J].SICHUAN MENTAL HEALTH,2020,33(3):272-276 |
| Changes in the diagnosis of emotional and behavioral disorders in middle high school students in Henan province: one year follow-up |
DOI：10.11886/scjsws20190709003 |
| English keywords:Emotional and behavioral disorder Adolescent Follow up Diagnosis change |
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| Author Name | Affiliation | Postcode | | Shao Hongmin | Hangu Street Community Health Service Center of Binhai New Area, Tianjin 300480, China | 300480 | | Xu Gailing | Tianjin Anding Hospital, Tianjin 300222, China | 300222 | | Wang Changhong | The Second Hospital Affiliated to Xinxiang Medical College, Xinxiang 453000, China | 453000 | | Chen Zheng | Tianjin Anding Hospital, Tianjin 300222, China | 300222 | | Tian Hongjun | Tianjin Anding Hospital, Tianjin 300222, China | 300222 | | Li Jie | Tianjin Anding Hospital, Tianjin 300222, China | 300222 |
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| 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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