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儿童和青少年攻击行为的亚型分类

Subtyping aggression in children and adolescents.

作者信息

Vitiello B, Behar D, Hunt J, Stoff D, Ricciuti A

机构信息

Medical College of Pennsylvania, Eastern Pennsylvania Psychiatric Institute, Philadelphia.

出版信息

J Neuropsychiatry Clin Neurosci. 1990 Spring;2(2):189-92. doi: 10.1176/jnp.2.2.189.

DOI:10.1176/jnp.2.2.189
PMID:2136074
Abstract

To document the existence of "predatory" (goal-oriented, planned, hidden, or controlled) and "affective" (impulsive, unplanned, overt, or uncontrolled) subtypes of aggression, this study assessed 73 aggressive child and adolescent psychiatric patients for the presence of theoretically predatory and affective behaviors. Cluster analysis, using the reliable items, confirmed the predicted partition, yielding a "predatory" and an "affective" cluster. The scale, with a total score from +5 (fully predatory) to -5 (fully affective), had good internal consistency (alpha = .73). The score distribution tended to be bimodal, with peaks at -3 (predominantly affective) and 1 (mixed). Patients with "affective" aggression were more likely to have lower IQ, to receive neuroleptics or lithium, and to have a chart diagnosis of schizophrenia. History of drug abuse was more frequent among the "predatory" patients.

摘要

为记录攻击行为的“掠夺性”(目标导向、有计划、隐蔽或受控制)和“情感性”(冲动、无计划、公开或不受控制)亚型的存在,本研究评估了73名有攻击行为的儿童和青少年精神科患者是否存在理论上的掠夺性和情感性行为。使用可靠项目进行的聚类分析证实了预测的划分,产生了一个“掠夺性”聚类和一个“情感性”聚类。该量表的总分从 +5(完全掠夺性)到 -5(完全情感性),具有良好的内部一致性(α = 0.73)。分数分布倾向于双峰分布,峰值分别在 -3(主要是情感性)和 1(混合性)。有“情感性”攻击行为的患者更有可能智商较低、接受抗精神病药物或锂治疗,并且病历诊断为精神分裂症。药物滥用史在“掠夺性”患者中更为常见。

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