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基于品行问题严重程度、冷酷无情特质和情绪困扰的破坏性行为儿童的临床概况。

Clinical Profiles of Children with Disruptive Behaviors Based on the Severity of Their Conduct Problems, Callous-Unemotional Traits and Emotional Difficulties.

作者信息

Andrade Brendan F, Sorge Geoff B, Na Jennifer Jiwon, Wharton-Shukster Erika

机构信息

Centre for Addiction and Mental Health, Toronto, ON, Canada,

出版信息

Child Psychiatry Hum Dev. 2015 Aug;46(4):567-76. doi: 10.1007/s10578-014-0497-8.

Abstract

This study identified clinical profiles of referred children based on the severity of callous-unemotional (CU) traits, emotional difficulties, and conduct problems. Parents of 166 children (132 males) aged 6-12 years referred to a hospital clinic because of disruptive behavior completed measures to assess these key indicators, and person-centered analysis was used to identify profiles. Four distinct profiles were identified that include: (1) Children low in severity on the three domains, (2) Children high in severity on the three domains, (3) Children high in severity in conduct problems and CU traits with minimal emotional difficulties, and (4) Children high in severity in conduct problems and emotional difficulties with minimal CU traits. Profiles differed in degree of aggression and behavioral impairment. Findings show that clinic-referred children with disruptive behaviors can be grouped based on these important indicators into profiles that have important implications for assessment and treatment selection.

摘要

本研究根据冷酷无情(CU)特质、情绪困扰和行为问题的严重程度,确定了被转诊儿童的临床特征。166名6至12岁因行为 disruptive 而被转诊至医院门诊的儿童(132名男性)的家长完成了评估这些关键指标的测量,并用以人为中心的分析方法来确定特征。确定了四种不同的特征,包括:(1)在三个领域严重程度较低的儿童;(2)在三个领域严重程度较高的儿童;(3)行为问题和CU特质严重程度较高但情绪困扰最小的儿童;(4)行为问题和情绪困扰严重程度较高但CU特质最小的儿童。这些特征在攻击程度和行为损害方面存在差异。研究结果表明,因行为 disruptive 而被转诊至门诊的儿童可以根据这些重要指标分为不同的特征组,这对评估和治疗选择具有重要意义。

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