Vloet Timo D, Herpertz Sabine, Herpertz-Dahlmann Beate
Klinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Universitätsklinikum Aachen.
Z Kinder Jugendpsychiatr Psychother. 2006 Mar;34(2):101-14; quiz 114-5. doi: 10.1024/1422-4917.34.2.101.
Conduct disorders are among the most common disorders encountered in child and adolescent psychiatry. They represent a heterogeneous group of disorders, each with a different psychopathology and a different life-course. While antisocial behaviour is only transient in some children, others show increasing criminal behaviour and delinquency, and some even develop an antisocial personality disorder.
This review presents substantial biological and psychosocial factors, as well as their interaction in the aetiology of conduct disorders. Changes in autonomic responsiveness are emphasized.
Especially young children with conduct problems seem to be at greater risk for persistent and more widespread antisocial behaviour. Some of these children have emotional disturbances similar to those of psychopathic individuals.
In order to prevent a negative course of the disorder, the relevance of primary care for children at high risk for antisocial behaviour is emphasized. In this context, the application of psychophysiological methods might be useful, in order to identify these children at an early stage.
品行障碍是儿童和青少年精神病学中最常见的疾病之一。它们代表了一组异质性疾病，每种疾病都有不同的精神病理学和不同的病程。虽然反社会行为在一些儿童中只是短暂存在，但其他儿童则表现出越来越多的犯罪行为和违法行为，有些儿童甚至会发展为反社会人格障碍。
本综述介绍了品行障碍病因中的大量生物学和心理社会因素，以及它们之间的相互作用。重点强调了自主反应性的变化。
特别是有品行问题的幼儿似乎更有可能出现持续且更广泛的反社会行为。其中一些儿童存在与精神病态个体相似的情绪障碍。
为了预防该疾病的不良病程，强调了对有反社会行为高风险儿童进行初级保健的重要性。在这种情况下，应用心理生理学方法可能有助于在早期识别这些儿童。
Zotero 插件