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zoom RSS 「不幸な」子どもは慢性的な病気や障害を持った大人になりやすい/英国

<<   作成日時 : 2009/03/02 23:55   >>

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 不幸な子どもは慢性的な病気や障害を持った大人になりやすいとの英国の研究報告。
 1950-55年に生まれた7,100人を調査したところ、教師から「惨め」や「不幸」と評された場合、中年になって病気のために仕事ができない人が5倍多かった。こうした子どもはうつ病にもなりやすい傾向があった。
 5.5%、392人は障害や病気のために仕事につけなかった。
 教師が「しばしば惨め、不幸、涙ぐむ、悲しむと見えた」とした子どもの1/4が、慢性疾患や障害を持っていた。
 しかし、逆に身体的な健康状態が悪くて学校に来られないような子どもが大人になって病気で仕事に就けないというわけではなかった。
 学校で幸福感が無く無関心な子どもは、多くが家庭環境から来ていると、英国公衆衛生学会のDr Alan Maryon Davisは言う。
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Page last updated at 00:31 GMT, Monday, 2 March 2009
Unhappy children 'end up unwell'
http://news.bbc.co.uk/2/hi/health/7913552.stm

画像Unidentified child
Researchers argue children can fall into a cycle of under-achievement

Unhappy children are more likely to grow up to become adults who are permanently sick or disabled, a UK study has suggested.

The King's College London-led research looked at over 7,100 people born between 1950 and 1955.
Researchers found those described as "miserable" or "unhappy" by teachers were five times more likely to be off work through ill-health in middle age.
They said these children were also likely to be more prone to depression.
The study, published in the British Journal of Psychiatry, involved thousands of children who grew up in Aberdeen in the 1950s.
Teachers were asked about their temperament and school attendance.

Children who are unhappy and disinterested in school often come from households where parents are disinterested and there is a lot of deprivation
Alan Maryon Davis, of the UK Faculty of Public Health

Researchers recently tracked down many of the participants - now in middle age - to ask them about their employment status.
Some 392 reported they were unable to work because of permanent disability or ill-health - 5.5% of the total questioned. This could have included those retired through illness and those on incapacity benefit.
A quarter of those whose teachers had reported them as "often appearing miserable, unhappy, tearful or distressed" were permanently sick or disabled.
A quarter of those who complained of aches and pain were also off sick through ill-health.
But those who were off school because of poor physical health were no more likely to end up as adults off work sick.

Factor
Lead researcher Dr Max Henderson said: "We can't say these childhood trends cause the ill-health later in life, but they certainly seem to be a contributing factor.
"Based on previous research, we suspect these groups are more susceptible to depression and anxiety, which of course is a major cause of being off work."
Dr Alan Maryon Davis, president of the UK Faculty of Public Health, said: "I think there is a common social pattern emerging here.
"Children who are unhappy and disinterested in school often come from households where parents are disinterested and there is a lot of deprivation.
"That leads to them not doing well at school and not doing well at work and falling into this cycle."

-------------------------------------------------
The British Journal of Psychiatry (2009) 194: 220-223. doi: 10.1192/bjp.bp.107.044271
(c) 2009 The Royal College of Psychiatrists

Childhood temperament and long-term sickness absence in adult life
Max Henderson, MRCPsych and Matthew Hotopf, MRCPsych
Department of Psychological Medicine, Institute of Psychiatry, Kings College London
David A. Leon, PhD
London School of Hygiene & Tropical Medicine, London, UK

Correspondence: Max Henderson, Institute of Psychiatry, Kings College London, Department of Psychological Medicine, Weston Education Centre, Cutcombe Road, London SE5 9RJ, UK. Email: m.henderson@iop.kcl.ac.uk

Declaration of interest
None. Funding detailed in Acknowledgements.

Background
Little is known as to whether childhood temperament is associated with long-term sickness absence in adult life.

Aims
To explore the associations between childhood temperament and long-term sickness absence in middle age.

Method
The Aberdeen Children of the 1950s study is comprised of 12 150 children born in Aberdeen 1950--55. Teachers completed the Aberdeen--London Child Behaviour Scale (Rutter B) for all participants in 1964. Current employment status was ascertained for 7183 (63.7%) in 2001.

Results
Five and a half per cent of responders classified themselves as `permanently sick or disabled' at follow-up. `Often complains of aches and pains' (OR=6.75, 95% CI 1.28--35.5) and `Often appears miserable or unhappy' (OR=3.81, 95% CI 1.01--14.4) were strongly associated with being permanently sick or disabled following adjustment for year of birth, gender, IQ and father's social class.

Conclusions
Childhood temperament is strongly associated with sickness absence in middle age.

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2009/03/19 16:55

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