Zoccolillo M, Rogers K
Department of Psychiatry, University of Colorado Health Science Center, Denver.
J Am Acad Child Adolesc Psychiatry. 1991 Nov;30(6):973-81. doi: 10.1097/00004583-199111000-00016.
Fifty-five adolescent girls with conduct disorder from a psychiatric hospital were examined with a structured interview schedule and then reevaluated 2 to 4 years later. The majority also had depressive or anxiety disorders. The criteria used for conduct disorder were less weighted toward violent crime and differed from the criteria in DSM-III-R. Their outcome was poor; 6% had died a violent death, the majority had dropped out of school, one-third were pregnant before the age of 17, half were rearrested, and many suffered traumatic injuries. Diagnoses of depression or anxiety disorders at the index admission were not associated with a better outcome.
一家精神病院的55名患有品行障碍的青春期女孩接受了结构化访谈,然后在2至4年后进行了重新评估。大多数人还患有抑郁症或焦虑症。品行障碍的诊断标准对暴力犯罪的权重较低,且与《精神疾病诊断与统计手册》第三版修订本(DSM-III-R)中的标准不同。她们的预后较差;6%死于暴力,大多数人辍学,三分之一在17岁前怀孕,一半人再次被捕,许多人遭受过创伤性伤害。首次入院时诊断为抑郁症或焦虑症与较好的预后无关。