Costello E J, Loeber R, Stouthamer-Loeber M
Duke University, Durham, North Carolina.
J Child Psychol Psychiatry. 1991 Jan;32(2):367-76. doi: 10.1111/j.1469-7610.1991.tb00313.x.
Several studies of children with problems of hyperactivity, impulsivity, and inattention (HIA) have suggested that when such behaviour occurs in more than one setting, associated conduct problems, emotional symptoms, and functional impairment are more serious than when HIA problems are seen in one situation only. Analyses of parent and teacher reports on a community sample of 480 children aged 7-11 are presented to show that in some cases this conclusion may have resulted from a confound between informant and information. When children with situational HIA were divided into 'home situational' and 'school situational' subgroups, their scores on other measures of psychopathology and impairment varied, depending on whether the informant was the parent or the teacher. When the source of information was independent of parents' or teachers' judgments, no differences were found between situationally and pervasively HIA children. Implications for future studies of situational and prevasive HIA are discussed.
多项针对患有多动、冲动和注意力不集中(HIA)问题儿童的研究表明,当此类行为在不止一种场景中出现时,与之相关的品行问题、情绪症状及功能损害比仅在一种情况下出现HIA问题时更为严重。本文呈现了对480名7至11岁社区儿童样本的家长和教师报告分析,结果表明在某些情况下,这一结论可能是由于报告者与信息之间的混淆所致。当将患有情境性HIA的儿童分为“家庭情境性”和“学校情境性”亚组时,他们在其他精神病理学和损害指标上的得分会有所不同,这取决于报告者是家长还是教师。当信息来源独立于家长或教师的判断时,情境性和广泛性HIA儿童之间未发现差异。文中还讨论了对未来情境性和广泛性HIA研究的启示。