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为 DSM-5 对立违抗障碍和品行障碍概念构建证据基础:特刊介绍。

Building an evidence base for DSM-5 conceptualizations of oppositional defiant disorder and conduct disorder: introduction to the special section.

机构信息

Department of Psychiatry, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA .

出版信息

J Abnorm Psychol. 2010 Nov;119(4):683-8. doi: 10.1037/a0021441.

Abstract

The DSM-5 ADHD and Disruptive Behavior Disorders Work Group recently outlined a research agenda designed to support possible revisions to the diagnostic criteria for oppositional defiant disorder (ODD) and conduct disorder (CD). Some of the areas in need of further investigation include (a) examining the clinical utility of the current diagnostic system in girls, (b) further clarifying the developmental progression from ODD to CD, (c) determining whether facets of ODD symptoms can help explain heterotypic continuity and enhance predictive validity, (d) evaluating the clinical utility of a new subtyping scheme for CD on the basis of the presence of callous-unemotional traits, and (e) comparing the clinical utility of dimensional versus categorical conceptualizations of ODD and CD. This special section was organized in an attempt to provide data on these issues using a diverse array of longitudinal data sets consisting of both epidemiological and clinic-based samples that collectively cover a large developmental span ranging from childhood through early adulthood.

摘要

DSM-5 注意缺陷多动障碍和破坏性行为障碍工作组最近概述了一项研究议程,旨在支持对立违抗性障碍 (ODD) 和品行障碍 (CD) 诊断标准的可能修订。需要进一步研究的一些领域包括:(a) 检查当前诊断系统在女孩中的临床实用性;(b) 进一步澄清从 ODD 到 CD 的发展进程;(c) 确定 ODD 症状的方面是否有助于解释异质连续性并提高预测效度;(d) 根据无情无情感特质评估 CD 的新亚型方案的临床实用性;(e) 比较 ODD 和 CD 的维度与类别概念化的临床实用性。本特刊的组织旨在使用一系列多样化的纵向数据集提供有关这些问题的数据,这些数据集包括流行病学和临床样本,它们共同涵盖了从儿童期到成年早期的较大发育范围。

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