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基于实证的综合征复制作为儿童/青少年精神病理学分类的基础。

Replication of empirically derived syndromes as a basis for taxonomy of child/adolescent psychopathology.

作者信息

Achenbach T M, Conners C K, Quay H C, Verhulst F C, Howell C T

机构信息

Department of Psychiatry, University of Vermont, Burlington 05401.

出版信息

J Abnorm Child Psychol. 1989 Jun;17(3):299-323. doi: 10.1007/BF00917401.

Abstract

To advance the empirical identification of child/adolescent syndromes, principal components analyses were performed on four sets of parents' ratings of 8,194 6- to 16-year-olds referred to American and Dutch mental health services. The following syndromes replicated well for both sexes at ages 6-16: Aggressive, Anxious/Depressed, Attention Problems, Delinquent, Somatic Complaints, and Withdrawn. For both age ranges, a syndrome designated as Socially Inept replicated well among boys, and one designated as Mean replicated well among girls. Evidence was also found for a Schizoid syndrome in all sex/age groups and a Sex Problems syndrome among girls at ages 6-11. Syndrome scores discriminated well between nationwide normative and clinical samples. The replicated syndromes contribute to the empirical basis for a taxonomy of the kinds of disorders commonly seen between the ages of 6 and 16.

摘要

为推进对儿童/青少年综合征的实证识别,对四组家长对8194名6至16岁转介至美国和荷兰心理健康服务机构儿童的评分进行了主成分分析。以下综合征在6至16岁的男女中均有良好的重复性:攻击性、焦虑/抑郁、注意力问题、违纪、躯体不适和退缩。在两个年龄范围内,一种被称为社交笨拙的综合征在男孩中重复性良好,一种被称为刻薄的综合征在女孩中重复性良好。在所有性别/年龄组中还发现了分裂样综合征的证据,以及6至11岁女孩中的性问题综合征。综合征得分在全国常模样本和临床样本之间有很好的区分度。这些重复性综合征为6至16岁常见疾病分类学的实证基础做出了贡献。

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