Tšusumetso e ka bang teng ea bokhoba ba inthanete le mabaka a sireletsang a kelello le khatello ea maikutlo hara bacha ba Hong Kong ba Chaena - litlamorao tse tobileng, tse amanang le tsa boitseko (2016)

Compr Psychiatry. 2016 Oct; 70: 41-52. Doi: 10.1016 / j.comppsych.2016.06.011. Epub 2016 Jun 16.

Wu AM1, Li J2, Lau JT3, Mo PK4, Lau MM5.

inahaneloang

LITLHAHISO:

Bokhoba ba marang-rang (IA) ke ntho e kotsi ha lintlha tse ling tsa kelello li ka sireletsa khahlanong le khatello ea maikutlo bathong ba lilemong tsa bocha. Mekhoa ea IA ho tlisa khatello ea maikutlo maemong a tšireletso le mehato e kenyelletsang mabaka a ts'ireletso ha e tsejoe mme e ile ea etsoa lipatlisiso thutong ena.

LITLHAHISO:

Boithuto ba boemeli bo mabapi le karolo e emeng bo entsoe har'a liithuti tsa sekolo sa mahareng sa China Hong Kong (n = 9518).

LIKOTSO:

Har'a banna le basali, ho ata ha khatello ea maikutlo maemong a tlase kapa a matla (CES-D≥21) e ne e le 38.36% le 46.13%, mme ea IA (CIAS> 63) e ne e le 17.64% le 14.01%, ka ho latellana. E fetotsoe molemong oa lipalo-palo tsa sechaba, khatello ea maikutlo e ne e amahanngoa le IA [banna: likamano tse fetotsoeng tsa maemo (AOR) = 4.22, 95% CI = 3.61-4.94; basali: AOR = 4.79, 95% CI = 3.91-5.87] mme e amahanngoa hampe le mabaka a kelello ho kenyelletsa boitšepo, tšusumetso e ntle, ts'ehetso ea lelapa le boits'oaro (banna: AOR = 0.76-0.94; basali: AOR = 0.72- 0.92, le <.05). Kamano e ntle lipakeng tsa IA le khatello ea maikutlo e ne e le mokena-lipakeng ka mabaka a ts'ireletso a kelello (haholo-holo boitšepo) ho batho ba bong bo fapaneng. Ka mekhoa e metle, IA e boetse e fokolitse boholo ba litlamorao tsa boits'ireletso le ts'ehetso ea malapa hara banna le tse amang basali le basali khahlanong le khatello ea maikutlo.

CONCLUSIONS:

Ho ata ha bongata bo phahameng ho tlatsetsa kotsing e eketsehileng ea ho tepella maikutlo ho atileng ka tsela e tobileng, ho fapanyetsana (ho fokotseha litekanyetso tse sireletsang) le ho lekanyetsa (ho fokotseha boholo ba tšireletso) liphello. Ho utloisisa mekhoa pakeng tsa IA le ho tepella maikutlong ka mabaka a sireletsang ho ntlafatsoa. Ho hlahloba le ho kenella bakeng sa IA le ho tepella maikutlo ho nepahetse, 'me ho lokela ho hlaolela mabaka a sireletsang, le ho hlakola tšusumetso e mpe ea IA holim'a maemo le liphello tsa lisosa tse sireletsang.

PMID: 27624422

DOI: 10.1016 / j.comppsych.2016.06.011


EXCERPTS HO ​​TSOHANG KAROLO EA MOTSOA

Seo re se fumaneng se fana ka maikutlo a hore IA e kentse letsoho ho ateng hoa khatello ea maikutlo ho atileng ha liithuti tsa sekolo se mahareng Hong Kong. Hoo e ka bang karolo e le 'ngoe ho tse tšeletseng ea barutoana ba nang le mohlala o ne a e-na le IA. Phapang ea botona le botšehali e ne e le bohlokoa ka lipalo empa e ne e le bonolo feela, e na le tšoaetso ea IA har'a banna ba nang le 4% e phahameng ho feta ea basali

IA e ne e amana haholo le khatello ea maikutlo e ka bang maemong a leka-lekaneng kapa a holimo (OR N 4). Liphetho li lumellana le tse fumanoeng lithutong tse 'maloa tsa thuto ea sefapano [30,32,68] le lithuto tse peli tse telele tse bonts'ang hore ts'ebeliso e boima ea inthanete e boletse tsoelo-pele ea khatello ea maikutlo selemong se tlang hamorao [34,35]. Mehato e fokotsang IA e ka fokotsa kotsi ea khatello ea maikutlo ho baithuti ba sekolo se mahareng.

Habohlokoa le ho feta, phuputso e 'ngoe e nkileng nako e telele e bontšitse hore khatello ea maikutlo e lekiloeng motheong oa pele e ile ea bolela liketsahalo tsa IA tse ncha nakong ea ho latela bacha ba lilemong tsa bocha tsa Taiwan [36]. Kamano e pakeng tsa IA le khatello ea maikutlo ho baithuti ka hona e kanna ea ba likamano-leseling, mme potoloho e mpe e ka ba ea sebetsa [19,33].

Mokhoa o pakeng tsa IA le khatello ea maikutlo ha o utloisisoe hantle. Ho na le tlala ea lithuto tse shebileng babuelli ba amanang; phuputso e 'ngoe e khothalelitse hore babuelli ba kenyeletse khafetsa liketsahalo tse sithabetsang joalo ka kotlo ea' mele ke batsoali, ho hloleha ha litlhahlobo, ho khaohana le motsoalle oa hlooho ea khomo le bokuli bo tebileng, joalo ka ha ho lekantsoe ke Lenane la Liketsahalo tsa Bophelo ba Boits'oaro ba Bacha [68]. Ho tsebo ea rona, ha ho na boithuto bo batlisisang lintho tse sireletsang joalo ka babuelli ba mokhatlo o pakeng tsa IA le khatello ea maikutlo. Re fumane lipuisano tse arohaneng tse ka bang 60% ka botlalo bakeng sa mabaka ohle a mane a ts'ireletso ea kelello, le 6.3% ho isa ho 48.5% bakeng sa tšireletso e le 'ngoe ea kelello le boits'epo, ka boitšepo e le mokena-lipakeng oa bong ka bobeli. Ha ho makatse ho fumana bonamoli bo sa reroang empa e se bo felletseng, joalo ka ha babuelli ba bang bao e leng lisosa tsa kotsi tsa khatello ea maikutlo le IA (mohlala, likhohlano le litho tsa lelapa) ba ka ba teng empa ba sa kenyelletsoa thutong ena. Re ile ra pheha khang ea hore IA e fokolitse maemo a ts'ireletso, mme ts'ireletso e fokolang linthong tsena le eona ea eketsa ts'oaetso ea motho ea ho ba le khatello ea maikutlo