Petty Carter R, Rosenbaum Jerrold F, Hirshfeld-Becker Dina R, Henin Aude, Hubley Samuel, LaCasse Sara, Faraone Stephen V, Biederman Joseph
Massachusetts General Hospital, Pediatric Psychopharmacology Unit, Warren 705, 15 Parkman Street, Boston, MA 02114, USA.
J Anxiety Disord. 2008;22(3):532-9. doi: 10.1016/j.janxdis.2007.04.003. Epub 2007 Apr 21.
To evaluate the utility of the Child Behavior Check list (CBCL) for identifying children of parents with panic disorder or major depression at high-risk for future psychopathology.
Baseline Internalizing and Externalizing CBCL T-scores were used to predict subsequent depressive, anxiety, and disruptive behavior disorders at a 5-year follow-up in children of parents with panic disorder, major depression, or neither disorder.
The Internalizing scale predicted subsequent agoraphobia, generalized anxiety disorder, separation anxiety disorder, and social phobia. In contrast, the Externalizing scale predicted subsequent disruptive behavior disorders and major depression.
The convergence of these results with previous findings based on structured diagnostic interviews suggests that the CBCL broad-band scales can inexpensively and efficiently help identify children at high risk for future psychopathology within a population of children already at risk by virtue of parental psychopathology.
评估儿童行为检查表(CBCL)在识别患有惊恐障碍或重度抑郁症的父母的子女中未来发生精神病理学高风险儿童方面的效用。
使用内化和外化CBCL基线T分数来预测患有惊恐障碍、重度抑郁症或无这两种障碍的父母的子女在5年随访时随后发生的抑郁、焦虑和破坏性行为障碍。
内化量表预测了随后的广场恐惧症、广泛性焦虑障碍、分离焦虑障碍和社交恐惧症。相比之下,外化量表预测了随后的破坏性行为障碍和重度抑郁症。
这些结果与之前基于结构化诊断访谈的研究结果一致,表明CBCL宽带量表可以廉价且高效地帮助在因父母精神病理学而已经处于风险中的儿童群体中识别未来发生精神病理学高风险的儿童。