Herpertz S C, Mueller B, Wenning B, Qunaibi M, Lichterfeld C, Herpertz-Dahlmann B
Department of Psychiatry and Psychotherapy, Rostock University, Germany.
J Neural Transm (Vienna). 2003 Oct;110(10):1181-95. doi: 10.1007/s00702-003-0026-6.
Autonomous hyporesponsiveness in children appears to be an indicator of a greater future likelihood of antisocial behavior. Since externalizing disorders are suggested to implicate a risk of antisocial behavior in later life, psychophysiological measurements were assessed commonly used in the realm of antisocial behavior.
Arousal measures and electrodermal responses to orienting and startling stimuli were assessed in 8-13 year old boys diagnosed with attention deficit/hyperactivity disorder (ADHD), conduct disorder (CD), the comorbid condition of ADHD+CD, and in controls. The eyeblink response to startling stimuli was also recorded.
Children with CD and ADHD+CD showed decreased electrodermal responses and accelerated habituation in all paradigms compared to children with ADHD alone and controls.
CD boys with and without ADHD showed a widely analogous response pattern which is highly similar to that found in antisocial adults. Data suggest that it is CD that sharply rises the risk of unfavorable, antisocial development, whether it occurs alone or comorbid with ADHD.
儿童自主反应低下似乎预示着未来出现反社会行为的可能性更大。鉴于外化性障碍被认为与日后生活中反社会行为的风险相关,因此对反社会行为领域常用的心理生理测量方法进行了评估。
对8至13岁被诊断患有注意力缺陷多动障碍(ADHD)、品行障碍(CD)、ADHD+CD共病情况的男孩以及对照组进行了唤醒测量以及对定向和惊吓刺激的皮肤电反应评估。还记录了对惊吓刺激的眨眼反应。
与仅患有ADHD的儿童和对照组相比,患有CD和ADHD+CD的儿童在所有范式中均表现出皮肤电反应降低和习惯化加速。
患有和未患有ADHD的CD男孩表现出广泛相似的反应模式,这与在反社会成年人中发现的模式高度相似。数据表明,无论是单独出现还是与ADHD共病,CD都会大幅增加不良反社会发展的风险。