Adriana Maldonado Martinez, Sheila C Caetano, Marcos V Ribeiro, Alexandra Restrepo-Henao, Paola M Okuda, Thiago M Fidalgo, Pamela J Surkan, Luis Manuel Silva, Silvia S Martins
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引用次数: 0
摘要
背景：在全球范围内，内化问题对青春期和成年期女性的影响尤为严重，但由于对破坏性行为的关注，针对早期年龄段的研究十分有限。我们的研究通过探讨巴西学龄前儿童内化问题的结构和性别差异，弥补了这一空白：我们分析了学前心理健康研究中儿童行为检查表 1.5-5 的数据，该研究涉及巴西圣保罗 Embu das Artes 的 1292 名 4-5 岁儿童。确认因素分析和均值比较探讨了内化问题和性别差异：包含四个因子（情绪反应、焦虑/抑郁、躯体不适和退缩）的分层模型最适合内化问题，在男孩和女孩之间实现了部分不变性。男孩在 "退缩综合症 "中得分较高，而女孩在 "躯体抱怨综合症 "中得分较高：结论：学龄前儿童的内化问题除了与外化问题有关外，还值得关注。虽然男孩和女孩的整体结构相似，但不同的综合征得分表明可能存在不同的风险模式，需要进一步探讨。
Internalizing problems can differ in boys and girls since early childhood: Findings from the Child Behavioral Checklist 1.5-5 (CBCL 1.5-5).
Background: Globally, internalizing problems disproportionately affect females in adolescence and adulthood, with limited research at earlier ages due to a focus on disruptive behaviors. Our study addresses this gap by exploring the structure of internalizing problems and gender differences in Brazilian preschoolers.
Methods: We analyzed data from the Child Behavioral Checklist 1.5-5 in the Preschool Mental Health Study, involving 1,292 children aged 4 to 5 in Embu das Artes, São Paulo, Brazil. Confirmatory factor analysis and mean comparisons explored internalizing problems and gender variations.
Results: A two-factor model best fit both internalizing and externalizing problems.The hierarchical model with four factors (Emotionally Reactive, Anxiety/Depression, Somatic Complaints, and Withdrawn) best fit internalizing problems, achieving partial invariance between boys and girls. Boys scored higher in Withdrawn Syndrome, while girls scored higher in Somatic Complaints Syndrome.
Conclusions: Preschoolers' internalizing problems warrant attention beyond their link to externalizing problems. While the overall construct is similar in boys and girls, divergent syndrome scores indicate potential distinct risk patterns requiring further exploration.
期刊介绍：
The Revista Brasileira de Psiquiatria (RBP) is the official organ of the Associação Brasileira de Psiquiatria (ABP - Brazilian Association of Psychiatry).
The Brazilian Journal of Psychiatry is a bimonthly publication that aims to publish original manuscripts in all areas of psychiatry, including public health, clinical epidemiology, basic science, and mental health problems. The journal is fully open access, and there are no article processing or publication fees. Articles must be written in English.
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