品行障碍的多种发展途径：当前概念及临床意义
Multiple developmental pathways to conduct disorder: current conceptualizations and clinical implications.
作者信息
Pardini Dustin, Frick Paul J
机构信息
University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, United States.
出版信息
J Can Acad Child Adolesc Psychiatry. 2013 Feb;22(1):20-5.
Abstract
OBJECTIVES
Recent research has uncovered several developmental pathways through which children and adolescents can develop a tendency to display the severe antisocial behavior associated with the diagnosis of conduct disorder (CD).
METHODS
This focused review is designed to briefly outline three different etiological pathways described in the literature. These pathways are distinguished by the age of onset of the antisocial behavior, the presence/absence of significant levels of callous-unemotional traits, and the presence/absence of problems with anger regulation.
RESULTS
Evidence from developmental psychopathology research (particularly longitudinal studies) that support the different life-course trajectories and putative etiological factors associated with antisocial behavior across these pathways is presented.
CONCLUSIONS
Limitations in the available research on these developmental pathways and implications of this research for the prevention and treatment of children and adolescents with CD are discussed.
摘要
目的
近期研究发现了几条发展途径，儿童和青少年可通过这些途径形成表现出与品行障碍（CD）诊断相关的严重反社会行为的倾向。
方法
本重点综述旨在简要概述文献中描述的三种不同病因途径。这些途径的区别在于反社会行为的发病年龄、是否存在显著程度的冷酷无情特质以及是否存在愤怒调节问题。
结果
呈现了来自发展心理病理学研究（尤其是纵向研究）的证据，这些证据支持了这些途径中与反社会行为相关的不同生命历程轨迹和假定病因因素。
结论
讨论了关于这些发展途径的现有研究的局限性以及该研究对患有CD的儿童和青少年的预防与治疗的意义。
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