Department of Child and Adolescent Psychiatry and Psychotherapy, Central Institute of Mental Health, Mannheim, Germany.
Acta Psychiatr Scand. 2010 Jan;121(1):52-64. doi: 10.1111/j.1600-0447.2009.01411.x. Epub 2009 May 29.
We investigated in a high-risk sample the differential impact of biological and psychosocial risk factors on antisocial behaviour pathways.
One hundred and thirty-eight boys and 155 girls born at differing degrees of obstetric and psychosocial risk were examined from birth until adolescence. Childhood temperament was assessed by a highly-structured parent-interview and standardized behavioural observations, adolescent temperament was measured by self-report. Neurodevelopmental variables were assessed by age-specific developmental tests. Emotional and behaviour problems were measured at the ages of 8 and 15 by the Achenbach scales.
In both genders, psychosocial adversity and early self-control temperament were strongly associated with early-onset persistent (EOP) antisocial behaviour. Psychosocial adversity and more severe externalizing problems differentiated the EOP from childhood-limited (CL) pathway. In girls, adolescent-onset (AO) antisocial behaviour was strongly associated with novelty seeking at 15 years.
Our findings emphasize the need for early support and intervention in psychosocially disadvantaged families.
我们在高危样本中研究了生物和心理社会风险因素对反社会行为途径的不同影响。
从出生到青春期，对 138 名男孩和 155 名女孩进行了检查，这些儿童出生时具有不同程度的产科和心理社会风险。通过高度结构化的父母访谈和标准化的行为观察评估儿童期气质，通过自我报告评估青少年气质。神经发育变量通过特定年龄的发育测试进行评估。情绪和行为问题在 8 岁和 15 岁时通过 Achenbach 量表进行测量。
在两性中，心理社会逆境和早期自我控制气质与早期持续（EOP）反社会行为密切相关。心理社会逆境和更严重的外化问题将 EOP 与儿童期有限（CL）途径区分开来。在女孩中，15 岁时的新奇寻求与青少年发病（AO）反社会行为密切相关。
我们的发现强调了在心理社会劣势家庭中需要早期支持和干预。
