Department of Psychology, University of Maryland at College Park, College Park, MD 20742, USA.
J Clin Child Adolesc Psychol. 2011;40(3):479-85. doi: 10.1080/15374416.2011.563471.
The purpose of this study was to examine whether contextual information about patients' clinical presentations affected clinicians' judgments of conduct disorder symptoms. Forty-five clinicians read vignettes describing hypothetical patients who displayed one conduct disorder symptom alongside information about the patients' home, school, and peer contexts. Clinicians judged the likelihood of patients meeting conduct disorder criteria. Contextual information highly affected judgments and these effects varied across the 15 conduct disorder symptoms. It is important to note that clinical judgments were not in agreement on the symptoms affected by context.
本研究旨在考察患者临床表现的背景信息是否会影响临床医生对品行障碍症状的判断。45 名临床医生阅读了描述具有一种品行障碍症状的假设患者的情景案例,并附有患者的家庭、学校和同伴环境信息。临床医生判断患者符合品行障碍标准的可能性。背景信息对判断有很大影响,这些影响因 15 种品行障碍症状的不同而有所不同。需要注意的是,临床判断对于受环境影响的症状并不一致。