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儿童焦虑与行为问题共病:对临床研究与实践的启示。

Comorbidity of anxiety and conduct problems in children: implications for clinical research and practice.

机构信息

Virginia Polytechnic Institute and State University, Blacksburg, VA, USA.

出版信息

Clin Child Fam Psychol Rev. 2010 Dec;13(4):333-47. doi: 10.1007/s10567-010-0077-9.

Abstract

Given the relative lack of research on the comorbidity of anxiety disorders (ADs) and conduct problems (oppositional defiant disorder, conduct disorder) in youth, we examine this comorbidity from both basic and applied perspectives. First, we review the concept of comorbidity and provide a framework for understanding issues pertaining to comorbidity. Second, we examine the comorbidity of ADs and conduct problems in both epidemiological and clinical studies. Third, we explore the artifactual and substantive reasons for the comorbidity of these disorders. Finally, we discuss the implications of comorbidity for assessment and treatment and provide recommendations for future directions in clinical research and practice.

摘要

鉴于相对缺乏关于焦虑障碍(ADs)和行为问题(对立违抗性障碍,品行障碍)在青年中的共病的研究,我们从基础和应用的角度来检查这种共病。首先,我们回顾了共病的概念,并提供了一个理解共病相关问题的框架。其次,我们在流行病学和临床研究中检查了 ADs 和行为问题的共病。第三,我们探讨了这些障碍共病的人为和实质性原因。最后,我们讨论了共病对评估和治疗的影响,并为临床研究和实践的未来方向提出了建议。

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