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幼儿观察到的气质与通过父母诊断访谈评估的精神障碍。

Preschoolers' observed temperament and psychiatric disorders assessed with a parent diagnostic interview.

机构信息

Department of Psychology, University of Maryland, College Park, MD 20794, USA.

出版信息

J Clin Child Adolesc Psychol. 2011;40(2):295-306. doi: 10.1080/15374416.2011.546046.

Abstract

Evidence supports the role of temperament in the origins of psychiatric disorders. However, there are few data on associations between temperament and psychiatric disorders in early childhood. A community sample of 541 three-year-old preschoolers participated in a laboratory temperament assessment, and caregivers were administered a structured diagnostic interview on preschool psychopathology. In bivariate analyses, temperamental dysphoria and low exuberance were associated with depression; fear, low exuberance, and low sociability were associated with anxiety disorders; and disinhibition and dysphoria were associated with oppositional defiant disorder. Although there were no bivariate associations between temperament and attention-deficit/hyperactivity disorder, disinhibition emerged as a unique predictor in multivariate analyses. Findings indicate that the pattern of relations between temperament and psychopathology in older youth and adults is evident as early as age 3.

摘要

证据支持气质在精神障碍起源中的作用。然而,关于儿童早期气质与精神障碍之间的关联的数据很少。一项对 541 名 3 岁学龄前儿童的社区样本进行了实验室气质评估,同时对照顾者进行了关于学龄前精神病理学的结构化诊断访谈。在双变量分析中,气质性心境恶劣和低活力与抑郁有关;恐惧、低活力和低社交性与焦虑障碍有关;而冲动和心境恶劣与对立违抗性障碍有关。尽管气质与注意缺陷/多动障碍之间没有双变量关联,但在多变量分析中,冲动是一个独特的预测因素。研究结果表明,早在 3 岁时,就已经出现了气质与青少年和成人精神病理学之间关系的模式。

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