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品行障碍及其成人期结局与抑郁和焦虑障碍的共病情况:一项综述

Co-occurrence of conduct disorder and its adult outcomes with depressive and anxiety disorders: a review.

作者信息

Zoccolillo M

机构信息

Department of Psychiatry, University of Colorado Health Sciences Center, Denver.

出版信息

J Am Acad Child Adolesc Psychiatry. 1992 May;31(3):547-56. doi: 10.1097/00004583-199205000-00024.

Abstract

Child and adult general population studies of psychiatric disorder were systematically reviewed for data on the co-occurrence of conduct disorder and its adult outcomes with depressive and anxiety disorders. For both sexes, both depressive and anxiety disorders co-occurred with conduct disorder (and its adult outcomes) far more than expected by chance in childhood, adolescence, and adulthood. Most women with conduct disorder and an antisocial adult outcome also developed a depressive or anxiety disorder by early adulthood. For both sexes, increasing severity of antisocial behavior was associated with an increasing risk of an emotional disorder. Age and sex affected the rates of co-occurrence. Possible reasons for this co-occurrence and implications for classification and the nature of conduct disorder are discussed.

摘要

针对儿童和成人普通人群的精神障碍研究进行了系统回顾,以获取有关品行障碍及其成人期后果与抑郁和焦虑障碍共现的数据。对于男性和女性而言,抑郁和焦虑障碍在儿童期、青少年期和成年期与品行障碍(及其成人期后果)的共现远远超过偶然预期。大多数患有品行障碍且有反社会成人期后果的女性在成年早期也会患上抑郁或焦虑障碍。对于男性和女性来说,反社会行为的严重程度增加与情绪障碍风险增加相关。年龄和性别影响共现率。本文讨论了这种共现的可能原因以及对品行障碍分类和性质的影响。

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