Matthys W, Maassen G H, Cuperus J M, van Engeland H
Department of Child and Adolescent Psychiatry, University Medical Center Utrecht, The Netherlands.
J Child Psychol Psychiatry. 2001 Mar;42(3):413-20.
In both theory and research the general issue of the extent to which children's problem behaviour is generalised across situations, and to what extent it is situation specific, has been neglected. In the clinical assessment of disordered children, too, little attention has been paid to the specific situations in which these children display their inappropriate behaviour. In this study the Taxonomy of Problematic Social Situations (TOPS) (Dodge, McClaskey, & Feldman, 1985) was employed. This is a questionnaire in which the child's teacher is asked to rate the likelihood of a child responding in an inappropriate manner in a specific situation. Characteristics of TOPS were investigated both in randomly selected normal school children and in boys with a conduct disorder. Four factors appeared to underlie the TOPS scores from 652 randomly selected boys and girls from grades 1 to 6, these being: teachers' scores for the types of problem situation Being Disadvantaged, Coping with Competition, Social Expectations of Peers, and Teacher Expectations. Because of the high internal consistency of the four factors, TOPS was abbreviated to a TOPS-Short Form (18 instead of 44 items). The four-factor model was cross-validated by means of a second sample of 326 boys and girls. A model with only one general problem behaviour factor did not fit the data of both samples. When the four specific factors were added a satisfactory fit resulted. Moreover, it was found that in the first sample 52% of the variance was explained by the general factor, whereas 18% of the variance was explained by the four specific factors together. Thus, the extent to which problem behaviour is situation specific should not be disregarded. In all four types of problem situation, boys showed more inappropriate behaviour than girls. With increasing age, children were rated as being more competent in dealing with the problem situation Being Disadvantaged. Teachers rated the four types of problem situation as more problematic for boys with a conduct disorder (N = 42) than for normal control boys (N = 67). Conduct disordered boys also differed individually in the number of situational types that were problematic for them. With respect to clinical implications, the identification of the particular social context in which a conduct disordered child displays his or her inappropriate behaviour may help refine treatment goals: more adequate social functioning should be aimed at specifically in those situations that are problematic.
在理论和研究方面,儿童问题行为在多大程度上具有情境普遍性以及在多大程度上具有情境特异性这一总体问题一直被忽视。在对行为紊乱儿童的临床评估中,这些儿童表现出不当行为的具体情境也很少受到关注。在本研究中,采用了问题社会情境分类法(TOPS)(道奇、麦克拉斯基和费尔德曼,1985年)。这是一份问卷,要求儿童的教师对儿童在特定情境中做出不当反应的可能性进行评分。在随机挑选的正常学童和患有品行障碍的男孩中,对TOPS的特征进行了调查。从1至6年级随机挑选的652名男孩和女孩的TOPS分数似乎基于四个因素,即:教师对处于不利地位、应对竞争、同伴的社会期望和教师期望等问题情境类型的评分。由于这四个因素具有较高的内部一致性,TOPS被简化为TOPS简表(从44项减至18项)。通过326名男孩和女孩的第二个样本对四因素模型进行了交叉验证。仅包含一个一般问题行为因素的模型并不适合两个样本的数据。当加入四个特定因素时,得到了令人满意的拟合效果。此外,研究发现,在第一个样本中,52%的方差由一般因素解释,而18%的方差由四个特定因素共同解释。因此,问题行为的情境特异性程度不容忽视。在所有四种问题情境类型中,男孩表现出的不当行为比女孩更多。随着年龄的增长,儿童在应对处于不利地位的问题情境方面被评为更有能力。教师认为,对于患有品行障碍的男孩(N = 42),这四种问题情境类型比正常对照男孩(N = 67)更成问题。患有品行障碍的男孩在对他们来说成问题的情境类型数量上也存在个体差异。关于临床意义,确定品行障碍儿童表现出不当行为的特定社会背景可能有助于细化治疗目标:应特别针对那些有问题的情境,旨在实现更充分的社会功能。