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幼儿的依恋障碍。II:不加区分的行为与机构照料。

Attachment disturbances in young children. II: Indiscriminate behavior and institutional care.

作者信息

Zeanah Charles H, Smyke Anna T, Dumitrescu Alina

机构信息

Institute of Infant and Early Childhood Mental Health, Department of Psychiatry and Neurology, Tulane University Health Sciences Center, New Orleans, LA 70112, USA.

出版信息

J Am Acad Child Adolesc Psychiatry. 2002 Aug;41(8):983-9. doi: 10.1097/00004583-200208000-00017.

Abstract

OBJECTIVE

To assess convergence among three different measures of indiscriminate behavior and to assess the relationship of indiscriminate behavior to having an attachment figure and to aggressive behavior among young children living in a Romanian institution.

METHOD

Caregivers in the institution were interviewed with semistructured interviews regarding the behavior of 61 children with special emphasis on indiscriminate behavior. The study was conducted in Bucharest, Romania (1999).

RESULTS

Substantial convergence among measures of indiscriminate behavior was demonstrated. Indiscriminate behavior was common whether or not these children had a preferred attachment figure. Indiscriminate behavior was independent of aggressive behavior.

CONCLUSIONS

Differing explanations for indiscriminate behavior in young children derive from differing interpretations of similar findings rather than different findings with different measures. Indiscriminate behavior was largely independent of aggression in these institutionalized young children. Indiscriminate behavior may represent an independent problem rather than a type of reactive attachment disorder as suggested by DSM-IV criteria.

摘要

目的

评估三种不同的无差别行为测量方法之间的一致性,并评估罗马尼亚孤儿院中幼儿的无差别行为与拥有依恋对象及攻击性行为之间的关系。

方法

通过半结构化访谈,就61名儿童的行为对孤儿院的保育员进行了访谈,特别强调了无差别行为。该研究于1999年在罗马尼亚布加勒斯特进行。

结果

证实了无差别行为测量方法之间存在实质性的一致性。无论这些儿童是否有偏好的依恋对象,无差别行为都很常见。无差别行为与攻击性行为无关。

结论

对幼儿无差别行为的不同解释源于对相似研究结果的不同解读,而非不同测量方法得出的不同结果。在这些机构照料的幼儿中,无差别行为在很大程度上与攻击性无关。无差别行为可能代表一个独立的问题,而非如《精神疾病诊断与统计手册》第四版标准所暗示的一种反应性依恋障碍类型。

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