兒童與青少年情緒障礙精神疾病照護與未來發展

Care and Future Development of Mood Disorders in Children and Adolescents

葉家佑(Jia-You Ye) ； 李宇彤(Yu-Tung Lee) ； 楊緯聖(Wei-Sheng Yang) ； 周桂如(Kuei-Ru Chou)

《榮總護理》 40卷2期 (2023/06) Pp. 153-158

https://doi.org/10.6142/VGHN.202306_40(2).0005

摘要

兒童與青少年情緒障礙被視為一種長期的健康問題，因需長期與疾病共存，對其心理健康及整體後續身心發展影響甚鉅，若未能及時提供協助其採取因應行為，將對兒童青少年的發展任務造成負面的影響。本文闡述兒童與青少年情緒障礙及相關影響因素，並探討創傷及壓力事件對兒童與青少年所造成延續性影響，最後再由學校端與社區端提出對兒童與青少年心理健康促進的建議，以新加坡心理衛生中心（Institute of mental health）為例，說明其所提倡的3A原則，如何協助兒童與青少年自我意識覺醒與尋求協助，建議可將此模式於本土社區中推動，作為關懷兒童與青少年心理健康的平台或媒介，提升對於兒童與青少心理衛生之重視。

關鍵字

兒童與青少年 ； 情緒障礙 ； 心理健康

並列摘要

Mood disorders in children and adolescents are considered a chronic health issue that substantially affects mental health and overall development. Inadequate coping strategies and a lack of prompt intervention can hinder the developmental progress of children and adolescents with mood disorders. This article describes the factors that influence mood disorders in children and adolescents and examines the long-term effects of traumatic and stressful events on children and adolescents. Furthermore, the schools and communities provide recommendations for promoting mental health among children and adolescents by using the 3A principles advocated by the Institute of mental health in Singapore as an example. This approach may serve as a means to increase self-awareness and collaboration among children and adolescents. The wide adoption of this model may improve mental health among children and adolescents in regional communities.

並列關鍵字

child and adolescent ； mood disorder ； mental health

參考文獻

Avedissian, T., & Alayan, N. (2021). Adolescent well-being: A concept analysis. International Journal of Mental Health Nursing, 30(2), 357-367.

Dalsgaard, S., Thorsteinsson, E., Trabjerg, B. B., Schullehner, J., Plana-Ripoll, O., Brikell, I., Wimberley, T., Thygesen, M., Madsen, K. B., Timmerman, A., Schendel, D., McGrath, J. J., Mortensen, P. B., & Pedersen, C. B. (2020). Incidence rates and cumulative incidences of the full spectrum of diagnosed mental disorders in childhood and adolescence. JAMA Psychiatry, 77(2), 155-164.

Downey, C., & Crummy, A. (2022). The impact of childhood trauma on children's wellbeing and adult behavior. European Journal of Trauma & Dissociation, 6(1), 100237.

Duarte, C. S., Canino, G. J., Wall, M., Ramos-Olazagasti, M., Elkington, K. S., Bird, H., Choi, C. J., Adams, C., Klotz, J., Carliner, H., Wainberg, M. L., & Alegria, M. (2021). Development, psychopathology, and ethnicity II: Psychiatric disorders among young adults. Journal of the American Academy of Child and Adolescent Psychiatry, 60(5), 579-592.

Finning, K., Moore, D., Ukoumunne, O. C., Danielsson-Waters, E., & Ford, T. (2017). The association between child and adolescent emotional disorder and poor attendance at school: A systematic review protocol. Systematic Reviews, 6(1), 121.