冷酷与无情特质在品行障碍诊断中的作用。
The role of callous and unemotional traits in the diagnosis of conduct disorder.
机构信息
University of Sheffield, UK.
出版信息
J Child Psychol Psychiatry. 2010 Jun;51(6):688-95. doi: 10.1111/j.1469-7610.2009.02199.x. Epub 2009 Dec 18.
BACKGROUND
Callous and unemotional (CU) traits might usefully subtype DSM-IV conduct disorder (CD). We investigate this hypothesis in a large, nationally representative sample of 5-16-year-olds. We also examine the characteristics of children with high CU traits but without CD.
METHODS
Data come from the 2004 British Child and Adolescent Mental Health Survey including 7,977 children, 5,326 of whom were followed up after 3 years. DSM-IV diagnoses of psychiatric disorder were based on parent, teacher and child report. CU traits were assessed by parent report.
RESULTS
Of the 2% of the sample who were diagnosed with DSM-IV CD, 46.1% were high on CU traits. In addition, 2.9% of the sample were high on CU traits without CD. Children with CD and CU traits showed more severe behavioural disturbance and were at substantially higher risk of CD diagnosis 3 years later. Children high on CU traits without CD showed evidence of disturbed functioning.
CONCLUSIONS
Subtyping CD using CU traits identifies children with more severe and persistent psychopathology. Children with high CU traits but no CD diagnosis require further investigation.
背景
冷酷无情（CU）特征可能有助于对 DSM-IV 品行障碍（CD）进行亚型划分。我们在一个由 5 至 16 岁的儿童组成的大型、全国代表性样本中检验了这一假设。我们还研究了具有高 CU 特征但无 CD 的儿童的特征。
方法
数据来自 2004 年英国儿童和青少年心理健康调查，包括 7977 名儿童，其中 5326 名在 3 年后进行了随访。基于家长、老师和儿童报告对精神障碍进行 DSM-IV 诊断。通过家长报告评估 CU 特征。
结果
在被诊断为 DSM-IV CD 的样本中，有 2%的儿童 CU 特征得分较高，占比为 46.1%。此外，2.9%的样本 CU 特征得分较高但无 CD。患有 CD 和 CU 特征的儿童表现出更严重的行为障碍，并且在 3 年后更有可能被诊断为 CD。CU 特征得分高但无 CD 诊断的儿童表现出功能障碍的迹象。
结论
使用 CU 特征对 CD 进行亚型划分可以识别出具有更严重和持久精神病理学的儿童。具有高 CU 特征但无 CD 诊断的儿童需要进一步研究。
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