目的了解和分析12~24月龄食物过敏儿童社会情绪发展异常的影响因素,为食物过敏儿童心理健康防治提供依据。方法选取2021年1月—2022年1月在某三级甲等妇幼保健院过敏专科门诊就诊的12~24月龄食物过敏儿童122例为研究对象,采用12~36月龄...目的了解和分析12~24月龄食物过敏儿童社会情绪发展异常的影响因素,为食物过敏儿童心理健康防治提供依据。方法选取2021年1月—2022年1月在某三级甲等妇幼保健院过敏专科门诊就诊的12~24月龄食物过敏儿童122例为研究对象,采用12~36月龄幼儿情绪社会性发展评估量表(Chinese Infant and Toddler Social-Emotional Assessment,CITSEA)和病史问卷等调查工具,根据CITSEA中19个因子结果,将发生一项或多项社会情绪因子异常儿童作为研究组,未发生社会情绪因子改变的正常儿童作为对照组,分析影响儿童社会情绪发展的可能因素。结果有一项或多项社会情绪因子异常的研究组儿童共80例(65.57%),未发生社会情绪因子改变的对照组儿童共42例(34.43%)。食物过敏儿童CITSEA中异常因子检出率最高前3位依次为饮食因子(36.89%、45/122)、睡眠因子(36.07%、44/122)和负性情绪因子(34.43%、42/122)。影响儿童社会情绪发展的单因素分析结果显示,两组儿童在母乳喂养时间、辅食添加态度、牛奶相关症状评分(Cow’s Milk Related Symptom Score,CoMiSS)、母亲目前焦虑状态、食物过敏种类数方面的比较差异均有统计学意义(均P<0.05)。多因素logistic回归分析结果显示,母亲焦虑状态、食物过敏种类数多是儿童社会情绪发展的危险因素(OR=12.933,95%CI:3.032~55.165;OR=15.282,95%CI:3.692~63.261),母乳喂养时间>6个月是社会情绪发展的保护因素(OR=0.133,95%CI:0.028~0.626)。结论食物过敏儿童社会情绪发展异常主要表现在饮食问题、睡眠问题和负性情绪方面;母亲焦虑状态、食物过敏种类数量多可能不利于儿童的社会情绪发展;母乳喂养时间>6个月可能有利于儿童的社会情绪发展。展开更多
The objective of this study was to evaluate the impact of Break Free from Depression(BFFD),a school-based depression awareness curriculum,in comparison to a wait list control group.A total of 13 eighth grade classroom...The objective of this study was to evaluate the impact of Break Free from Depression(BFFD),a school-based depression awareness curriculum,in comparison to a wait list control group.A total of 13 eighth grade classrooms participated in either an intervention or control group and completed pre-,post-,and three-month follow-up surveys.Students participating in BFFD(N=6 classrooms,166 students)demonstrated enhanced knowledge of and more adaptive attitudes towards depression compared to the control group(N=7 classrooms,155 students).Participants in the BFFD intervention also demonstrated increases in their confidence in knowing how to seek help for depression and in their intent to seek this help if needed.Slight decreases were found at a three-month follow-up in all scales except for intent to seek help.BFFD was effective regardless of gender,ethnicity,or identification as a member of the LGBTQ community.There was a delayed effect on measured constructs for Black students with gains apparent at three-month follow-up.The findings demonstrated that BFFD had a small but significant positive impact on students’knowledge,skills,and attitudes in seeking support for themselves and for others when faced with signs of depression.The implementation of depression awareness curricula in schools hold promise in promoting student mental health,and it is important to consider factors that might have an impact on outcomes.展开更多
文摘目的了解和分析12~24月龄食物过敏儿童社会情绪发展异常的影响因素,为食物过敏儿童心理健康防治提供依据。方法选取2021年1月—2022年1月在某三级甲等妇幼保健院过敏专科门诊就诊的12~24月龄食物过敏儿童122例为研究对象,采用12~36月龄幼儿情绪社会性发展评估量表(Chinese Infant and Toddler Social-Emotional Assessment,CITSEA)和病史问卷等调查工具,根据CITSEA中19个因子结果,将发生一项或多项社会情绪因子异常儿童作为研究组,未发生社会情绪因子改变的正常儿童作为对照组,分析影响儿童社会情绪发展的可能因素。结果有一项或多项社会情绪因子异常的研究组儿童共80例(65.57%),未发生社会情绪因子改变的对照组儿童共42例(34.43%)。食物过敏儿童CITSEA中异常因子检出率最高前3位依次为饮食因子(36.89%、45/122)、睡眠因子(36.07%、44/122)和负性情绪因子(34.43%、42/122)。影响儿童社会情绪发展的单因素分析结果显示,两组儿童在母乳喂养时间、辅食添加态度、牛奶相关症状评分(Cow’s Milk Related Symptom Score,CoMiSS)、母亲目前焦虑状态、食物过敏种类数方面的比较差异均有统计学意义(均P<0.05)。多因素logistic回归分析结果显示,母亲焦虑状态、食物过敏种类数多是儿童社会情绪发展的危险因素(OR=12.933,95%CI:3.032~55.165;OR=15.282,95%CI:3.692~63.261),母乳喂养时间>6个月是社会情绪发展的保护因素(OR=0.133,95%CI:0.028~0.626)。结论食物过敏儿童社会情绪发展异常主要表现在饮食问题、睡眠问题和负性情绪方面;母亲焦虑状态、食物过敏种类数量多可能不利于儿童的社会情绪发展;母乳喂养时间>6个月可能有利于儿童的社会情绪发展。
文摘The objective of this study was to evaluate the impact of Break Free from Depression(BFFD),a school-based depression awareness curriculum,in comparison to a wait list control group.A total of 13 eighth grade classrooms participated in either an intervention or control group and completed pre-,post-,and three-month follow-up surveys.Students participating in BFFD(N=6 classrooms,166 students)demonstrated enhanced knowledge of and more adaptive attitudes towards depression compared to the control group(N=7 classrooms,155 students).Participants in the BFFD intervention also demonstrated increases in their confidence in knowing how to seek help for depression and in their intent to seek this help if needed.Slight decreases were found at a three-month follow-up in all scales except for intent to seek help.BFFD was effective regardless of gender,ethnicity,or identification as a member of the LGBTQ community.There was a delayed effect on measured constructs for Black students with gains apparent at three-month follow-up.The findings demonstrated that BFFD had a small but significant positive impact on students’knowledge,skills,and attitudes in seeking support for themselves and for others when faced with signs of depression.The implementation of depression awareness curricula in schools hold promise in promoting student mental health,and it is important to consider factors that might have an impact on outcomes.
