University of Pittsburgh School of Medicine, PA, USA.
J Abnorm Psychol. 2010 Nov;119(4):713-25. doi: 10.1037/a0020910.
To answer several questions pertinent to DSM-V, the authors examined the predictive validity of pretreatment oppositional defiant disorder (ODD) dimensions, attention-deficit/hyperactivity disorder (ADHD), and callous-unemotional (CU) traits in relation to several treatment outcomes in 177 children diagnosed with ODD or conduct disorder (CD). Multiple informants completed diagnostic interviews and rating scales at 6 assessment points (pretreatment to 3-year follow-up) to document emotional and behavioral outcomes. After controlling for pretreatment CD, the ODD dimension of hurtfulness was related to treatment-resistant CD, delinquent behaviors, and externalizing problems. In contrast, the ODD dimension tapping irritability was associated with treatment-resistant ODD, internalizing problems, and global functional impairment following treatment. Whereas pretreatment ADHD was associated with posttreatment ODD and social problems, it was unrelated to posttreatment CD symptoms and diagnosis. Contrary to predictions, CU traits were unrelated to any posttreatment outcomes after controlling for other covariates. These findings remained after controlling for measures of pretreatment global functional impairment.
为了回答与 DSM-V 相关的几个问题，作者研究了治疗前对立违抗障碍（ODD）维度、注意缺陷/多动障碍（ADHD）和冷酷无情（CU）特征对 177 名被诊断为 ODD 或品行障碍（CD）的儿童的几种治疗结果的预测有效性。多位知情者在 6 个评估点（治疗前至 3 年随访）完成诊断访谈和评分量表，以记录情绪和行为结果。在控制治疗前 CD 后，伤害性 ODD 维度与治疗抵抗性 CD、犯罪行为和外化问题相关。相比之下，烦躁 ODD 维度与治疗抵抗性 ODD、内化问题和治疗后整体功能障碍相关。虽然治疗前 ADHD 与治疗后 ODD 和社会问题相关，但与治疗后 CD 症状和诊断无关。与预测相反，在控制其他协变量后，CU 特征与任何治疗后结果均无关。在控制治疗前整体功能障碍的测量值后，这些发现仍然存在。
