Jensen P S, Bloedau L, DeGroot J, Ussery T, Davis H
Department of Military Psychiatry, Walter Reed Army Institute of Research, Washington, D.C. 20307-5100.
J Am Acad Child Adolesc Psychiatry. 1990 Jan;29(1):51-9. doi: 10.1097/00004583-199001000-00010.
The authors compared 134 6- to 12-year-old children from a military psychiatric clinic with a control sample to determine the salience of various risk factors in predicting levels of child psychopathology. Parents provided demographic information and completed standardized questionnaires on themselves and their children, while children completed two self-report symptom inventories. Results indicated that all hypothesized risk factors mediated effects on child psychopathology, but the effects of various risk factors differed as a function of the rater and type of psychopathological construct being measured. Generally, parental psychopathology and life stress mediated the greatest effects on overall child symptoms levels. Furthermore, the clinical and community samples differed in the presence and extent of risk factors. Results indicate the need for caution in studies of child psychopathology using only clinical samples and may suggest the importance of therapies based on environmental manipulations for a substantial proportion of patients seeking child psychiatric assistance.
作者将一家军事精神病诊所的134名6至12岁儿童与一个对照样本进行比较，以确定各种风险因素在预测儿童精神病理学水平方面的显著性。父母提供了人口统计学信息，并完成了关于他们自己和孩子的标准化问卷，而孩子们完成了两份自我报告症状清单。结果表明，所有假设的风险因素都介导了对儿童精神病理学的影响，但各种风险因素的影响因评分者和所测量的精神病理学结构类型而异。一般来说，父母的精神病理学和生活压力对儿童总体症状水平的介导作用最大。此外，临床样本和社区样本在风险因素的存在和程度上有所不同。结果表明，在仅使用临床样本进行的儿童精神病理学研究中需要谨慎，并且可能表明基于环境干预的治疗方法对于相当一部分寻求儿童精神科帮助的患者的重要性。
