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母亲的精神病理学能否区分患有《精神疾病诊断与统计手册第四版》(DSM-IV)中广泛性焦虑障碍或对立违抗性障碍的儿童?母亲轴I和轴II精神病理学的预测效度。

Does maternal psychopathology discriminate between children with DSM-IV generalised anxiety disorder or oppositional defiant disorder? The predictive validity of maternal axis I and axis II psychopathology.

作者信息

Nordahl Hans M, Ingul Jo Magne, Nordvik Hilmar, Wells Adrian

机构信息

Department of Psychology, NTNU, Dragvoll, 7491 Trondheim, Norway.

出版信息

Eur Child Adolesc Psychiatry. 2007 Mar;16(2):87-95. doi: 10.1007/s00787-006-0578-8. Epub 2006 Oct 10.

Abstract

What dimensions of maternal psychopathology predict internalising or externalising disorder in children? We conducted a study of maternal axis I and axis II psychopathology in a group of children 8-12 years of age with Generalised Anxiety Disorder (GAD), Oppositional Defiant Disorder (ODD) and non-patient controls (NC). By using Multigroup Discriminant Analyses (MDA) on three groups of children (N = 85) and measures of axis I and axis II psychopathology of their mothers, we attempted to discriminate between these groups on a data driven basis. Two separate MDA were computed, one based on maternal axis I disorders, and one based on maternal axis II disorders. The results demonstrated that maternal symptomatic and personality psychopathology was differentially related to childhood anxiety or behavioural disorders. Mothers of children with ODD were characterised by more negative emotions and detached personality styles, whereas mothers of children with GAD seemed to be more somatic preoccupied, controlling and over-protective.

摘要

母亲精神病理学的哪些维度能够预测儿童的内化或外化障碍?我们对一组8至12岁患有广泛性焦虑症(GAD)、对立违抗障碍(ODD)的儿童以及非患病对照组(NC)的母亲进行了轴I和轴II精神病理学研究。通过对三组儿童(N = 85)及其母亲的轴I和轴II精神病理学测量进行多组判别分析(MDA),我们试图在数据驱动的基础上区分这些组。我们计算了两个独立的MDA,一个基于母亲的轴I障碍,另一个基于母亲的轴II障碍。结果表明,母亲的症状性和人格精神病理学与儿童焦虑或行为障碍存在差异关联。患有ODD的儿童的母亲表现出更多的负面情绪和冷漠的人格风格,而患有GAD的儿童的母亲似乎更关注躯体症状、控制欲强且过度保护。

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