心理健康状况不佳的轨迹:一般做法能否有助于预防幼儿的不良后果?

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
European Journal of General Practice Pub Date : 2025-12-01 Epub Date: 2025-07-03 DOI:10.1080/13814788.2025.2524430
Philip Wilson
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引用次数: 0

摘要

早期生活中存在的因素在很大程度上解释了成年后心理健康的差异。在全科医生为孕妇和儿童提供首次接触护理的地区,有许多机会可以识别出有后期精神问题风险的儿童。这些风险取决于遗传和产前因素、亲子互动和家庭功能,并受到贫穷、邻里和教育环境的影响。根据他们工作的环境,全科医生可能能够提供支持或转介到专家服务,以防止不良后果。全科医生无法准确地预测哪些儿童将面临发育风险,因此,重要的是要确保在整个人群中存在识别神经发育问题的系统,无论是在一般实践中还是在其他地方。当发育监测发生在一般实践之外时,有强有力的理由支持数据共享。认识和系统地记录后期精神病理的风险因素,并在适当的情况下采取适当的干预措施,从长远来看,有可能为人口心理健康带来实质性的好处。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trajectories towards poor mental health: Can general practice contribute to prevention of bad outcomes for young children?

Factors present in early life account for much of the variation in mental wellbeing in adulthood. In regions where general practitioners (GPs) provide first-contact care for pregnant women and children, there are many opportunities to identify children at risk of later psychiatric problems. These risks are contingent on genetic and antenatal factors, parent-child interaction and family functioning, and are influenced by poverty, the neighbourhood and the educational environment. Depending on the context in which they work, GPs may be able to offer support or referral to specialist services to prevent adverse outcomes. GPs are not able to predict accurately which children will be at developmental risk, so it is important to ensure that systems exist to identify neurodevelopmental problems in the whole population, whether in general practice or elsewhere. When developmental surveillance takes place outside general practice, there are strong arguments for data sharing. Awareness and systematic recording of risk factors for later psychopathology, along with appropriate intervention when available, offer the potential for substantial benefits to population mental health in the long term.

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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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