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品行障碍(CD):新版国际疾病分类第十版(ICD - 10)类别之信效度

Conduct disorders (CD): the reliability and validity of the new ICD-10-categories.

作者信息

Blanz B, Schmidt M H, Esser G

机构信息

Child and Adolescent Psychiatric Clinic, Central Institute for Mental Health, Mannheim.

出版信息

Acta Paedopsychiatr. 1990;53(2):93-103.

PMID:2178311
Abstract

The conduct disorders (CD) were re-grouped in the 10th revision of the International Classification of Diseases (ICD-10), that comes into force in 1990. The new categories and the empirical findings based upon them are presented. The interrater reliability for the CD was satisfactory at 48.5%, but was clearly lower for the CD with emotional disorders with a correspondence of 33.3%. In a longitudinally examined field random test the total amount of CD increased clearly between 8 and 13 years, whilst it remained more or less constant between 13 and 18 years. The symptom load as parameter for the degree of severity of a disorder was significantly different to the disadvantage of the unsocialized in the 13 year olds between the CD without and with socialization, but was not so in the children and young adults. In the long-term, as far as the symptom load is concerned, there were no important group differences.

摘要

品行障碍(CD)在1990年生效的《国际疾病分类》第10版(ICD - 10)中进行了重新分组。文中介绍了新的类别以及基于这些类别得出的实证研究结果。品行障碍的评分者间信度为48.5%,令人满意,但伴有情绪障碍的品行障碍的评分者间信度明显较低,一致性为33.3%。在一项纵向检验的现场随机测试中,品行障碍的总数在8至13岁之间明显增加,而在13至18岁之间大致保持不变。作为障碍严重程度参数的症状负荷,在13岁未社会化和已社会化的品行障碍患者之间存在显著差异,对未社会化的患者不利,但在儿童和青少年中并非如此。从长期来看,就症状负荷而言,各群体之间没有重要差异。

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