Department of Psychiatry, Weill Cornell Medical College, New York, NY, USA.
Child Psychiatry Hum Dev. 2013 Jun;44(3):361-9. doi: 10.1007/s10578-012-0330-1.
Withdrawn behavior (WB) relates to many developmental outcomes, including pervasive developmental disorders, anxiety, depression, psychosis, personality disorders and suicide. No study has compared the latent profiles of different informants' reports on WB. This study uses multi-informant latent class analyses (LCA) of the child behavior checklist (CBCL), teacher report form (TRF) and youth self-report (YSR) to examine phenotypic variance in WB. LCA was applied to the CBCL, TRF and YSR of 2,031 youth (ages 6-18); of which 276 children were clinically-referred. A 4-class solution for the CBCL and 3-class solutions for the YSR and TRF were optimal. The CBCL yielded low symptoms, predominantly shy or secretive moderate symptoms, and all symptoms classes. The TRF lacked the moderate--secretive class, and the YSR lacked the moderate--shy class. Agreement was low. LCA shows similar structure of withdrawn behavior across informants but characterizations of moderate WB vary.
退缩行为(Withdrawn behavior,WB)与许多发展结果有关,包括广泛性发育障碍、焦虑、抑郁、精神病、人格障碍和自杀。没有研究比较过不同信息提供者对 WB 报告的潜在特征。本研究使用儿童行为检查表(Child behavior checklist,CBCL)、教师报告表(Teacher report form,TRF)和青少年自我报告(Youth self-report,YSR)的多信息潜在类别分析(Latent class analyses,LCA),来检查 WB 的表型变异。LCA 应用于 2031 名 6-18 岁青少年的 CBCL、TRF 和 YSR;其中 276 名儿童为临床转诊。CBCL 的最佳解决方案是 4 类,YSR 和 TRF 的最佳解决方案是 3 类。CBCL 表现为低症状、主要为害羞或隐秘的中度症状,以及所有症状类别。TRF 缺乏中度-隐秘类别,YSR 缺乏中度-害羞类别。一致性低。LCA 表明不同信息提供者的退缩行为结构相似,但中度 WB 的特征描述存在差异。