Benarous Xavier, Mikita Nina, Goodman Robert, Stringaris Argyris
King's College London, Institute of Psychiatry, Psychology and Neuroscience, Box P085, De Crespigny Park, Denmark Hill, London, SE5 8AF, UK.
Department of Child and Adolescent Psychiatry, Hôpital Pitié-Salpêtrière, 47-83, Boulevard de l'Hôpital, 75013, Paris, France.
Eur Child Adolesc Psychiatry. 2016 Aug;25(8):831-42. doi: 10.1007/s00787-015-0800-7. Epub 2015 Dec 9.
Difficulties with interpersonal relationships have been reported in children and adolescents with manic symptoms, even if they do not fulfil criteria for a manic episode. The role of social aptitude (SA) in youths with manic symptoms has never been examined in the general population. Moreover, no study has examined whether SA is differentially associated with dimensions of manic symptoms. We hypothesised that youth with predominantly undercontrol manic symptoms (characterised by irritability) would show lower levels of SA; conversely, youth with predominantly exuberant symptoms would show better than average social skills. Our sample comprised 5325 participants from the 2004 British Child and Adolescent Mental Health Survey (B-CAMHS04), mean age 10.3 years, SD = 3.3, 48 % girls. Manic symptoms were assessed with the Development and Wellbeing Assessment by interviewing parents and young people. Children and adolescents with manic symptoms had a lower SA score, compared to the general population by parent report, but not by self-report. SA score was higher in youths with predominantly exuberant manic symptoms compared to the general population; whereas the youths with predominantly undercontrol manic symptoms had lower SA scores by parent and self-report. Our results provide further evidence for the distinction between exuberant and undercontrol manic symptoms and highlight the need to focus on SA in future research.
据报道，有躁狂症状的儿童和青少年存在人际关系方面的困难，即便他们不符合躁狂发作的标准。社会能力（SA）在有躁狂症状的青少年中的作用在普通人群中从未被研究过。此外，也没有研究探讨过SA是否与躁狂症状的维度存在差异关联。我们假设，以易激惹为特征、主要表现为控制不足型躁狂症状的青少年SA水平较低；相反，主要表现为精力旺盛型症状的青少年社交技能会高于平均水平。我们的样本包括来自2004年英国儿童和青少年心理健康调查（B - CAMHS04）的5325名参与者，平均年龄10.3岁，标准差 = 3.3，48%为女孩。通过对家长和青少年进行访谈，用发育与幸福评估量表来评估躁狂症状。根据家长报告，有躁狂症状的儿童和青少年SA得分低于普通人群，但自我报告的结果并非如此。与普通人群相比，主要表现为精力旺盛型躁狂症状的青少年SA得分更高；而主要表现为控制不足型躁狂症状的青少年，家长报告和自我报告的SA得分均较低。我们的研究结果为区分精力旺盛型和控制不足型躁狂症状提供了进一步的证据，并强调了在未来研究中关注SA的必要性。
