Verhulst F C, Versluis-den Bieman H, van der Ende J, Berden G F, Sanders-Woudstra J A
Sophia Children's Hospital, Erasmus University, Rotterdam, The Netherlands.
J Am Acad Child Adolesc Psychiatry. 1990 May;29(3):420-8. doi: 10.1097/00004583-199005000-00014.
This study is a clinical extension of two previous epidemiological studies on problem behavior in international adoptees. In depth pictures were obtained by clinical interviews of 132 14-year-old international adoptees and their parents. Children were selected on the basis of previously obtained Child Behavior Checklist (CBCL) scores. Clinical severity ratings and DSM-III-R diagnoses were obtained. The correlations of r = 0.63 and r = 0.45 between clinical severity ratings and CBCL problem and competence scores, respectively, indicated that the results from the authors' extensive epidemiological survey and the clinical evaluation, which took place more than 10 months later, converged. The results showed that the CBCL may be used in epidemiological studies to obtain an estimate of the prevalence of psychiatric disorders in children. The 28% prevalence rate of psychiatric disorders in this sample of 14-year-old international adoptees (22% rate for girls, 36% for boys) was somewhat higher than for general population samples reported in comparable studies. Conduct disorders were elevated in the sample. The behavior of disordered adopted children was characterized by antisocial behaviors, poor relationships, and problems of affect.
本研究是此前两项关于国际收养儿童问题行为的流行病学研究的临床扩展。通过对132名14岁国际收养儿童及其父母进行临床访谈，获取了深入的情况。儿童是根据先前获得的儿童行为量表（CBCL）得分挑选出来的。获得了临床严重程度评级和DSM-III-R诊断结果。临床严重程度评级与CBCL问题得分和能力得分之间的相关系数分别为r = 0.63和r = 0.45，这表明作者广泛的流行病学调查结果与10多个月后进行的临床评估结果趋于一致。结果表明，CBCL可用于流行病学研究，以估计儿童精神障碍的患病率。在这个14岁国际收养儿童样本中，精神障碍患病率为28%（女孩为22%，男孩为36%），略高于可比研究中报告的一般人群样本。该样本中品行障碍有所增加。行为失常的收养儿童的行为特点是反社会行为、人际关系差和情感问题。
