Krener P, Cranston C
Department of Psychiatry, University of California Davis, Sacramento 95817.
Acta Paedopsychiatr. 1990;53(4):269-79.
One hundred forty six boys (mean age 9 years 1 months, SD = two years, nine months) and forty one girls (mean age 8 years 6 months, SD = three years, three months) received medical, developmental, psychoeducational, and psychiatric evaluations in a multidisciplinary developmental pediatric clinic. Two hundred fifty variables were analyzed by developing ten scales to quantitatively evaluate neuropsychological risk factors, family and parent functioning, and outcome measures of academic achievement, social adjustment and coping or psychiatric symptom pattern. Higher academic achievement, and lower behavioral symptomatology were associated with high IQ scores but not with higher scores on neurobehavioral risk factors. Chief complaints reported by parents did not correlate with their children's final psychiatric diagnoses and also were found to be independent of children's coping styles observed in the office. Problem parenting, as observed in the pediatrician's office, was associated with behavioral problems, and also with decreased competence on language measures and lower academic achievement in relation to IQ. In this sample, assessing parenting yielded a stronger prediction of the child's school and behavioral functioning than did taking a detailed history of neuropsychological risk factors.
146名男孩（平均年龄9岁1个月，标准差=2年9个月）和41名女孩（平均年龄8岁6个月，标准差=3年3个月）在一家多学科发育儿科诊所接受了医学、发育、心理教育和精神科评估。通过制定十个量表来分析250个变量，以定量评估神经心理风险因素、家庭和父母功能，以及学业成绩、社会适应与应对或精神症状模式的结果指标。较高的学业成绩和较低的行为症状与高智商分数相关，但与神经行为风险因素的较高分数无关。家长报告的主要诉求与孩子最终的精神科诊断无关，并且发现与在诊室观察到的孩子的应对方式无关。在儿科诊室观察到的不良养育方式与行为问题相关，也与语言测试能力下降以及相对于智商而言较低的学业成绩相关。在这个样本中，评估养育方式比详细了解神经心理风险因素的病史能更有力地预测孩子的学校表现和行为功能。
