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双相障碍青少年的健康相关危险行为

田野 李雪 刘靖 杨文 周娱菁 王慧 刘静然

中国心理卫生杂志Issue(4):267-272,6.
中国心理卫生杂志Issue(4):267-272,6.DOI:10.3969/j.issn.1000-6729.2015.04.006

双相障碍青少年的健康相关危险行为

Health-related risky behaviors in adolescents with bipolar disorder

田野 1李雪 1刘靖 1杨文 1周娱菁 1王慧 1刘静然1

作者信息

  • 1. 北京大学精神卫生研究所,北京大学第六医院,卫生部精神卫生学重点实验室 北京大学 北京100191
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摘要

Abstract

Objective:To investigate the characteristics of health-related risky behaviors in adolescents with bipolar disorder.Methods:Fifty adolescents aged 12 -18 years,fulfilled the International Statistical Classification of Diseases and Related Health Problems,Tenth Revision(ICD-10)criteria for bipolar disorder(29 in depressive state, 19 in manic state,and 2 in mixed state)and 100 healthy-matched controls were recruited.Their health-related risky behaviors were assessed using the Questionnaire for Adolescents Health-related Risky Behavior Inventory (AHRBI) and the Questionnaire for Adolescents Health-related Risky Behavior Inventory for Parent (AHRBI-P).Results:The bipolar group had higher AHRBI scores in the total scale and six subscales than controls,including Aggression and Violence (AV),Health-Compromising Behavior (HCB),Rule Breaking (RB),Unprotected Sex (US),Self-injury and Suicide (SS),and Smoking and Drinking(SD)[Total scores,55.5(38,119)vs.46(38,65);P <0.05].Besides, the scores of 26 items of bipolar group were all higher than controls(Ps <0.05).The scores in the total scale and six subscales had no difference between AHRBI and AHRBI-P.According to the partial correlation analysis (de-pressive state =0;manic state =1),the AHRBI and AHRBI-P scores of Self-injury and Suicide subscale were nega-tively associated with the episode state (r =-0.32,-0.33;Ps <0.05).The AHRBI scores of'destroy properties'which belongs to the Aggression and Violence subscale were positively associated with the episode state (r =0.32, P <0.05).Conclusion:The adolescents with bipolar disorder have more health-related risky behaviors than the healthy adolescents.The depressive patients have higher risk of suicide.While,the risky behavior of destroying properties tend to occur among the manic patients.

关键词

青少年/双相障碍/健康相关危险行为/现况调查

Key words

adolescents/bipolar disorder/health-related risky behaviors/cross-sectional studies

分类

医药卫生

引用本文复制引用

田野,李雪,刘靖,杨文,周娱菁,王慧,刘静然..双相障碍青少年的健康相关危险行为[J].中国心理卫生杂志,2015,(4):267-272,6.

基金项目

国家科技支撑计划 ()

中国心理卫生杂志

OA北大核心CHSSCDCSCDCSSCICSTPCD

1000-6729

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