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[雄激素在青少年外化行为问题中的作用]

[Role of androgens in externalizing behavior problems in adolescents].

作者信息

Maras A, Laucht M, Lewicka S, Haack D, Malisova L, Schmidt M H

机构信息

Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Zentralinstitut für Seelische Gesundheit Mannheim.

出版信息

Z Kinder Jugendpsychiatr Psychother. 2003 Feb;31(1):7-15. doi: 10.1024/1422-4917.31.1.7.

Abstract

OBJECTIVE

While an association between androgens and different types of aggression has been well documented in male offenders, the influence of androgens on externalizing behavior in adolescents at risk for antisocial behavior has not been investigated so far.

METHODS

Plasma levels of the main androgen metabolites testosterone (T) and 5a-dihydrotestosterone (DHT) were measured in N = 119 14-year-olds (51 boys, 68 girls) from a prospective longitudinal study of children at risk. The Achenbach Child Behavior Checklist (CBCL) and the Youth Self Report Form (YSR) were used to assess externalizing behavior at age 14.

RESULTS

The CBCL revealed significant positive correlations between DHT levels and the subscales "externalizing problems" and the problem scales "aggressive behavior" and "delinquent behavior" in male adolescents. Only the YSR subscale "delinquent behavior" exhibited a marginally significant association with DHT. Neither scale showed any significant correlations between androgen levels and externalizing behavior in female adolescents.

CONCLUSIONS

Earlier findings of androgen effects on aggressive and antisocial behavior in male offenders were confirmed for male adolescents from a general population sample. The results stress the importance of the androgen metabolite DHT.

摘要

目的

虽然雄激素与男性罪犯不同类型攻击行为之间的关联已有充分记录,但迄今为止,雄激素对有反社会行为风险的青少年外化行为的影响尚未得到研究。

方法

在一项对有风险儿童的前瞻性纵向研究中,对N = 119名14岁儿童(51名男孩,68名女孩)的血浆中主要雄激素代谢物睾酮(T)和5α-双氢睾酮(DHT)水平进行了测量。使用阿肯巴克儿童行为检查表(CBCL)和青少年自我报告表(YSR)来评估14岁时的外化行为。

结果

CBCL显示,在男性青少年中,DHT水平与“外化问题”子量表以及“攻击行为”和“违法行为”问题量表之间存在显著正相关。只有YSR“违法行为”子量表与DHT表现出微弱的显著关联。在女性青少年中,两个量表均未显示雄激素水平与外化行为之间存在任何显著相关性。

结论

从一般人群样本中选取的男性青少年证实了早期关于雄激素对男性罪犯攻击和反社会行为影响的研究结果。结果强调了雄激素代谢物DHT的重要性。

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