儿童情绪问题发生率较高,包含多种障碍。儿童的情绪症状多样且不典型,常呈现行为异常和躯体症状。儿科医生是识别儿童心理问题的重要资源,早期识别和有效应对是降低情绪问题损害儿童发展的关键。需要在观念、意识、预见性和敏锐性方面做好早期识别的准备。重视高风险儿童、特殊家庭中儿童,重视共患病的诊断,了解警示性症状和早期识别的过程。对儿童情绪障碍的应对措施,采取三级干预模式,从预防开始,家庭、校园、咨询和专业化治疗多方面相介入,综合性治疗。最后,举例解释干预模式,包括健康促进、普适性教育、对情绪问题的指导和情绪障碍的治疗方法。
Abstract
The prevalence of the emotional problem in children is high and including several disorders.The emotional symptoms are various and atypical in children,often present in abnormal behaviors and physical symptoms.Pediatricians are the important resources for the detection of children psychological problems.The early detection and effective dealing is the key to decrease the impairment of the emotional problems to the child development.It is necessary to well prepare on the aspects of concept,awareness,prediction and alertness.Take more attention on the child with risks and in special families.The comorbidity diagnosis should be highly thinking.The warning signs and the pathway of early detection should be known.The dealing strategy of the children emotional disorders is three-level intervention model.Beginning from prevention to the comprehensive intervention,family,school,consulting and specialty treatment are involved.At the last,the example is provided to explain the intervention model which including health improve,generalizing education,the guide of emotional problem and the treatment of emotional disorders.
关键词
情绪问题 /
早期识别 /
应对措施 /
儿童
Key words
emotional problems /
early detection /
dealing strategy /
child
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Weitzman C,Wegner L.Promoting optimal development:screening for behavioral and emotional Problems[J].Pediatrics,2015,135(2):384-395.
[2] Egger HL,Angold A.Common emotional and behavioral disorders in preschool children:presentation,nosology,and epidemiology[J].J Child Psychol Psychiat,2006,47:313-337.
[3] Cheng K,Myers KM.Child and adolescent psychiatry:the Essentials (Second Edition) [M].Lippincott Williams & Wilkins,a Wolters Kluwer Business,2011.
[4] 世界卫生组织.ICD-10 精神与行为障碍分类研究用诊断标准[S]//刘平,于欣,汪向东.北京:人民卫生出版社,1995.
[5] American Psychiatric Association.Diagnostic and statistical manual of mental disorders[M].5th ed.Arlington,VA:American Psychiatric Association,2013.
[6] ZERO TO THREE.Diagnostic classification of mental health and developmental disorders of infancy and early childhood:DC:0-5[M].Washington.DC,2016.
[7] Hudson JL,Dodd HF.Informing early intervention:preschool predictors of anxiety disorders in middle childhood[J].PLoS ONE,2012,7(8):e42359.
[8] Schatz DB,Rostain AL.ADHD with comorbid anxiety:a review of the current literature[J].J Atten Disorder,2006,10(2):141-149.
[9] Weiping XIA,Lixiao SHEN,Jinsong ZHANG.Comorbid anxiety and depression in school-aged children with attention deficit hyperactivity disorder (ADHD) and self-reported symptoms of ADHD,anxiety,and depression among parents of school-aged children with and without ADHD[J].Shanghai Archives of Psychiatry,2015,27(6):356-367.
[10] 金星明.发育行为儿科学[M].北京.人民卫生出版社,2014:271-281.
[11] 任芳,张劲松.婴幼儿症状检查表的信度和效度初步探讨[J].中国儿童保健杂志,2016,24(6):570-572.
[12] 张劲松,姚国英.0~6岁儿童心理健康保健-儿童保健医生指导手册[M].上海:上海科学技术文献出版社,2010.
[13] 张劲松.学前儿童心理健康指导[M].上海:复旦大学出版社,201.
[14] 谭歆.以园/校为基础的儿童心理危机干预的效果研究[D].上海:上海交通大学硕士学位论文,2015.
[15] 谭歆,张劲松,帅澜,等.儿童心理危机干预培训对学龄儿童情绪和行为问题的改善作用[J].中国儿童保健杂志,2015,23(6):566-569.