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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Mental Health Service Use Among 18-Year-Old Adolescent Boys: A Prospective 10-Year Follow-up Study.
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Mental Health Service Use Among 18-Year-Old Adolescent Boys: A Prospective 10-Year Follow-up Study.

机译：18岁青少年男孩的心理健康服务使用：一项为期10年的前瞻性随访研究。

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OBJECTIVE: To study prevalence and factors associated with mental health service use among 18-year-old adolescent boys. METHOD: Predictors at age 8 and factors at age 18 associated with mental health service use during the preceding 12 months were studied in a general population sample of 2,316 Finnish boys born in 1981 attending military call-up (79% of the original sample). RESULTS: Within the preceding 12 months, 2.1% of the boys had used mental health services. At age 18, internalizing, anxious-depressive, and withdrawal symptoms; health problems; not living with parents; use of illicit drugs; high level of alcohol use; and regular smoking were independently associated with service use. At age 8, a high level of emotional and behavioral symptoms, need for referral, and low school performance according to teacher evaluations predicted service use 10 years later. CONCLUSIONS: Only a minority of adolescents with severe problems had used mental health services. Because of the wide range of problems andcomorbidity among service users, there is a need for integration of different services. Education services have a central role in the early detection of those who will later use mental health services.
机译：目的：研究18岁青少年男孩中使用心理健康服务的患病率和相关因素。方法：在2 316名1981年出生，参加过军事招募的芬兰男孩中，对前12个月内使用精神卫生服务的8岁预测因子和18岁与精神卫生服务使用相关的因素进行了研究（占原始样本的79％）。结果：在过去的12个月中，有2.1％的男孩曾使用过精神卫生服务。在18岁时出现内在，焦虑，抑郁和戒断症状;健康问题;不与父母同住;使用非法药物;大量饮酒;经常吸烟与服务使用独立相关。在8岁时，根据老师的评估，高水平的情感和行为症状，需要转诊以及低学业表现预计在10年后会使用服务。结论：只有少数严重问题的青少年使用过精神卫生服务。由于服务用户之间存在广泛的问题和合并症，因此需要集成不同的服务。教育服务在及早发现以后将使用精神保健服务的人中起着核心作用。

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