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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Have There Been Changes in Children's Psychiatric Symptoms and Mental Health Service Use? A 10-Year Comparison From Finland.
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Have There Been Changes in Children's Psychiatric Symptoms and Mental Health Service Use? A 10-Year Comparison From Finland.

机译：儿童的精神症状和心理健康服务的使用是否发生了变化？来自芬兰的十年比较。

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OBJECTIVE:: To study the differences in children's psychiatric symptoms and child mental health service use at two time points: 1989 and 1999. METHOD:: Two cross-sectional representative samples of 8- to 9-year-old children from southern Finland were compared. The 1989 sample consisted of 985 children, of whom 95% participated, and the 1999 sample consisted of 962 children, of whom 86% participated. Information was gathered from parents and teachers using Rutter's questionnaires and other related determinants of service use and from children using the Child Depression Inventory. The sampling, procedure, and methods were similar at both time points. RESULTS:: The overall rate of children's problems assessed by parents and teachers had not increased during the period 1989 to 1999. Boys had fewer psychiatric symptoms in 1999 than in 1989, whereas no clear change had occurred in girls' symptoms, except that, according to parents, girls in 1999 had more hyperactive symptoms. However, children themselves reported more depressive symptoms in the 1999 than in the 1989 sample. In 1989, 2.3% and in 1999, 5.3% of children had used child mental health services. The increase in service use among girls was fourfold. Parental evaluations of child psychopathology and teacher evaluations whether the child was psychologically healthy were the strongest determinants for referral at both time points. Parents preferred to seek help for their children's problems from teachers, school nurses, and school psychologists rather than from specialized child psychiatric services. CONCLUSIONS:: There has been an increase in mental health service use especially among girls as well as a convergence of symptom levels by gender. It is important to develop child psychiatric services that are as close to the child's living environment as possible to further reduce the threshold for seeking help and to promote early detection and intervention.
机译：目的：：研究两个时间点（1989年和1999年）儿童精神病症状和儿童精神卫生服务使用的差异。方法：：比较了来自芬兰南部的8至9岁儿童的两个横断面代表性样本。 1989年的样本包括985名儿童，其中95％参与其中; 1999年的样本包括962名儿童，其中86％参与了其中。信息是使用Rutter的问卷调查从父母和老师那里收集的，以及其他有关服务使用的决定因素，而儿童则是使用儿童抑郁调查表收集的。在两个时间点，采样，过程和方法都相似。结果：在1989年至1999年期间，由父母和老师评估的儿童问题的总体发生率没有增加。男孩的精神病症状比1989年少，而男孩的精神症状没有明显变化，除了，据称对于父母来说，1999年的女孩多动症。但是，与1989年的样本相比，儿童自己在1999年的抑郁症状有所增加。 1989年为2.3％，1999年为5.3％。女童的服务使用增加了四倍。在两个时间点，父母对孩子的心理病理学评估和老师对孩子是否心理健康的评估都是最重要的决定因素。家长宁愿从老师，学校护士和学校心理学家那里寻求帮助，而不是从专门的儿童精神科服务中寻求帮助。结论：心理健康服务的使用有所增加，尤其是在女孩中，并且症状水平也按性别趋同。重要的是要发展与儿童生活环境尽可能接近的儿童精神科服务，以进一步降低寻求帮助的门槛并促进早期发现和干预。

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