在特殊教育和家庭护理服务（SESSAD）中，8至10岁患有特定学习障碍的儿童群体的抑郁症患病率和保护因素。

IF 1.2 4区医学 Q4 NEUROSCIENCES

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique Pub Date : 2024-08-01 DOI:10.1016/j.encep.2023.08.008

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引用次数: 0

摘要

目的：评估在特殊教育和家庭护理服务（SESSAD）中接受治疗的8至10岁学习障碍儿童的抑郁患病率，并确定可能使这些儿童免受抑郁和情感问题影响的保护因素。方法：对20名8至10岁的学习障碍儿童在进入SESSAD之前进行评估。抑郁症是通过儿童多核心抑郁量表（MDIC）进行评估的，该量表适用于法国人群，以及他们的发育位置与他们身体模式的感知成熟度之间的关系，并通过绘制你的家庭图进行评估。通过对“绘制你的家庭投影图”和“儿童社会化测试”（TSEA）卡片4、9、20上讲述的故事进行定性分析，评估保护因素。定量数据由jamovi©统计软件（V.2.3.24）通过描述性统计和非参数检验（Spearman相关性检验）计算，结果：定量数据显示：（1）75%的样本身体图式存在感知成熟延迟；（2）该人群中抑郁症的发病率较低，但40%的样本（8岁和9岁）显示出无助感的临界阈值。对Draw your family和TSEA故事的定性分析可以强调一些对抗抑郁的保护因素，以及那些按降序指代家庭成员、同龄人和情感替代者（动物）给予的社会支持的因素。结论：本研究强调了该人群中无助感的早熟性，以及这些儿童对社会支持的重视。这些发现和未来对这一主题的研究可用于指导调整干预措施的设计和实施，这些干预措施涉及他们学习能力的发展和心理赋权。

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Prevalence of depression and protective factors in a population of children aged 8 to 10 years, suffering from specific learning disorders, in a special education and home care service (SESSAD)

Objectives

Evaluate the prevalence of depression in a population of children aged 8 to 10 years with learning disabilities treated in a Special Education and Home Care Service (SESSAD) and identify the protective factors that might preserve these children from depressive and affective problems.

Methods

Twenty children, aged 8 to 10, with learning disabilities were evaluated prior to their admission in SESSAD. Depression had been assessed through the Multiscore Depression Inventory for Children (MDIC), adapted to the French population as well as their developmental position in relation with their perceptual maturity of their body schema, through the Draw your family drawing. The protective factors were assessed through the qualitative analysis of the stories told on the Draw your family projective drawing and card 4, 9, 20 of The Socialization Test for Children (TSEA). Quantitative data were computed through descriptive statistics and non-parametric tests (Spearman's correlation test) by the jamovi© statistic software (V.2.3.24), and the qualitative data were analyzed through thematic content analysis and lexical text analysis through the TROPES software (V.8.3).

Results

Quantitative data showed for the entire group: (1) a perceptual maturity delay of the body schema in 75% of the sample; (2) a low incidence of depression in this population with, however, 40% of the sample, (aged 8 and 9) displaying a critical threshold for feelings of helplessness. The qualitative analysis of the Draw your family and TSEA stories allowed to underline some of the protective factors against depression and those which refer, in decreasing order, to the social support given by family members, peers, and the emotional substitutes (animals).

Conclusions

This research highlighted the precocity of the feelings of helplessness in this population and the importance given by these children to the social support. These findings and future research on the topic might be used to guide the design and implementation of adjusted interventions addressing both the development of their learning capability and psychological empowerment.

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来源期刊

Encephale-Revue De Psychiatrie Clinique Biologique et Therapeutique 医学-精神病学

CiteScore

4.60

自引率

7.40%

发文量

162

审稿时长

6-12 weeks

期刊介绍： Une revue française de renommée internationale. - Un comite de rédaction représentant tous les aspects de la prise en charge psychiatrique du patient. - Une sélection rigoureuse d''articles faisant l''objet de plusieurs expertises. - Des travaux d''auteurs et de chercheurs de renommée internationale. - Des indexations dans les grandes bases de données (Current Contents, Excerpta Medica, etc.). - Un facteur d''impact qui témoigne de la grande notoriété de la revue. La tribune des publications originales de haut niveau. - Une très grande diversité des sujets traités, rigoureusement sélectionnés à travers des sommaires dynamiques : - des éditoriaux de médecins référents, - une revue de presse sur les actualités internationales, - des articles originaux pour approfondir vos connaissances, - des mises au point et des cas cliniques pour engager votre réflexion sur les indications et choix possibles au travers de mises en situation clinique, - des dossiers thématiques pour faire le tour d''une question. - L''actualité de l''AFPB : L''Encéphale publie régulièrement des comptes rendus de l''Association française de psychiatrie clinique.