Waschbusch Daniel A
Department of Psychology, Dalhousie University, Halifax, Nova Scotia, Canada.
Psychol Bull. 2002 Jan;128(1):118-50. doi: 10.1037/0033-2909.128.1.118.
The author quantitatively reviewed prevalence rates, defining features, associated features, developmental trajectory, and etiology to examine 3 taxonomic questions about comorbid hyperactive-impulsive-attention problems (HIA) and conduct problems (CP): Do HIA and CP co-occur randomly? Does comorbid HIA-CP differ from HIA-only and CP-only? Do HIA and CP combine synergistically? Results showed that HIA and CP co-occur at a greater than random rate, that comorbid HIA-CP differs from HIA-only and CP-only in multiple ways, and that there is little evidence that HIA and CP combine synergistically. However, sample type, grouping definition, age, gender, and subtype of disruptive behavior often moderated these findings. Overall, the review suggests that HIA-CP is best conceptualized as an additive combination of HIA and CP rather than as a distinct category.
作者进行了定量综述，分析了患病率、定义特征、相关特征、发展轨迹和病因，以研究关于共病多动冲动注意力问题（HIA）和行为问题（CP）的三个分类学问题：HIA和CP是随机共现的吗？共病的HIA-CP与仅患HIA和仅患CP的情况有何不同？HIA和CP是否协同作用？结果表明，HIA和CP的共现率高于随机水平，共病的HIA-CP在多个方面与仅患HIA和仅患CP的情况不同，而且几乎没有证据表明HIA和CP会协同作用。然而，样本类型、分组定义、年龄、性别以及破坏性行为的亚型常常会影响这些研究结果。总体而言，该综述表明，HIA-CP最好被理解为HIA和CP的累加组合，而非一个独特的类别。
