Bernstein G A
Division of Child and Adolescent Psychiatry, University of Minnesota Medical School, Minneapolis 55455.
J Am Acad Child Adolesc Psychiatry. 1991 Jan;30(1):43-50. doi: 10.1097/00004583-199101000-00007.
Ninety-six children and adolescents with school refusal were evaluated with clinician and self-report rating scales for anxiety and depression. Patients meeting DSM-III-R criteria for both anxiety and depressive disorders scored significantly higher than those in the other three diagnostic groups (anxiety disorder only, depressive disorder only, and no anxiety or depressive disorder) on all anxiety and depression rating scales. Patients with no anxiety or depressive disorders scored lowest on all scales. Patients with pure depression and pure anxiety disorders were psychometrically similar, with scores that were intermediate between the other two groups. Demographic profiles and types of comorbid anxiety diagnoses within the diagnostic groups are presented.
采用临床医生评定量表和自评量表,对96名患有学校恐惧症的儿童及青少年进行焦虑和抑郁评估。同时符合DSM-III-R焦虑症和抑郁症标准的患者,在所有焦虑和抑郁评定量表上的得分显著高于其他三个诊断组(仅患有焦虑症、仅患有抑郁症、无焦虑或抑郁症)。无焦虑或抑郁症的患者在所有量表上得分最低。单纯抑郁症患者和单纯焦虑症患者在心理测量学上相似,得分介于其他两组之间。文中呈现了各诊断组的人口统计学特征以及共病焦虑症诊断类型。