Vi trenger longitudinelle epidemiologiske undersøkelser av psykiske lidelser og utviklingsforstyrrelser hos barn
DOI:
https://doi.org/10.5324/nje.v7i1.390Sammendrag
sAMMENDRAG
Artikkelen gjennomgår nyere forekomststudier for utviklings- og atferdsforstyrrelser, nevrologiske og psykiske
lidelser hos barn og ungdom. Forfatterne peker på den betydelige komorbiditet som sees for disse grupper
av tilstander, og den tverrfaglige bredde som synes nødvendig for å forstå hvilke faktorer og mekanismer som
påvirker barns utvikling og psykiske helse. I tillegg refereres nyere forskning på forløp og varighet ved
avvikende utvikling i oppveksten, samt eksempler på undersøkelser av beskyttelsesfaktorer såvel som genetiske
faktorer av betydning for å forstå de typer tilstander som her er fokusert. Til slutt nevnes de mulighetene
ulike typer prospektiv, epidemiologisk forskning i et utviklingsperspektiv vil gi til en bedret forståelse av
årsaks- og utviklingsforhold, samt forløp og prognose for disse tilstandene. Slik kunnskap antas å ville gi
bedre muligheter til samfunnsmessig planlegging av forebyggende arbeid og individuell behandling.
Gjærum B, Nøvik TS.
There is a need for longitudinal studies of psychiatric and developmental
disorders in children.
ENGLISH SUMMARY
This article reviews recent prevalence studies of developmental and behavioural disorders, and neurological
and psychiatric disorders in children and adolescents. The authors highlight the degree of comorbidity among
these conditions and emphasize the complexity of models that should be used in order to understand how
different factors and mechanisms affect children's development and mental health. Further, studies of course
and duration of deviant development in childhood, studies of protective factors and contributions from
behavioural genetic studies to the understanding of these conditions, are addressed. Finally, the authors
discuss the possibility of using prospective, epidemiological studies in a developmental perspective in order to
understand etiological and developmental factors, course and prognosis. Such knowledge would lay the
foundations for planning preventive interventions and individual treatment.
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