Olsson Martin
The Danish National Institute of Social Research, Herluf Trolles Gade 11, København K, Denmark.
Nord J Psychiatry. 2009;63(2):102-12. doi: 10.1080/08039480802626939.
Conduct disorder (CD) is a condition that describes an aggressive, antisocial and criminal individual with social maladjustment. A diagnostician must consider symptoms, time and function when making a diagnosis. The aim of the article is to provide a general outline of the CD diagnosis described in DSM, using three databases--Medline, PsycIFO and Social Sciences Citation. The diagnostic criteria give an impression that individuals with this condition constitute a homogeneous group, but empirical studies show that these individuals can only be seen as a heterogeneous group. Although the diagnosis describes a temporary condition, it seems to be a fairly stable condition when the CD symptoms start at an early age. More boys than girls seem to have this condition. CD is a condition that often appears with other conditions. During the assessment of psychiatric conditions, especially a heterogenic condition like CD, it would be most appropriate to also use dimensional approaches. If clinicians use dimensional approaches, they will also take under consideration the high comorbidity between CD and internalizing problems.
品行障碍（CD）是一种描述具有攻击性、反社会和犯罪行为且存在社会适应不良的个体的病症。诊断人员在进行诊断时必须考虑症状、时间和功能。本文的目的是利用三个数据库——医学文献数据库（Medline）、心理学文摘数据库（PsycINFO）和社会科学引文索引数据库（Social Sciences Citation），提供《精神疾病诊断与统计手册》（DSM）中所描述的品行障碍诊断的总体概述。诊断标准给人的印象是患有这种病症的个体构成一个同质群体，但实证研究表明这些个体只能被视为一个异质群体。尽管该诊断描述的是一种暂时的病症，但当品行障碍症状在早年出现时，它似乎是一种相当稳定的病症。患这种病症的男孩似乎比女孩更多。品行障碍是一种常与其他病症同时出现的病症。在评估精神病症时，尤其是像品行障碍这样的异质性病症，使用维度方法最为合适。如果临床医生使用维度方法，他们也会考虑到品行障碍与内化问题之间的高共病率。
