Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Department of Psychiatry, Penn State Hershey Medical Center, 22B Northeast Dive, Hershey, PA, 17033, USA.
J Abnorm Child Psychol. 2018 May;46(4):781-793. doi: 10.1007/s10802-017-0330-5.
This study examines externalizing symptoms (attention-deficit/hyperactivity disorder [ADHD], conduct problems, and callous-unemotional [CU] traits) in relation to domains of peer functioning (social competence, loneliness, and close friendship quality), with a specific focus on the role of CU traits. One hundred twenty-four elementary students (grades 3-6; 45% boys) completed multiple measures of peer functioning, and teachers completed measures of externalizing symptoms and social competence. After controlling for demographic variables and other externalizing symptoms, CU traits were significantly associated with poorer peer functioning across all variables except for demands of exclusivity in close friendships. ADHD symptoms were also uniquely associated with poorer social functioning across a number of variables. In contrast, conduct problems were at times associated with better social functioning after controlling for the effects of other externalizing problems. These findings bolster the importance of developing and evaluating social skills interventions for children displaying elevated CU traits.
本研究考察了外化症状（注意力缺陷/多动障碍[ADHD]、行为问题和冷酷无情[CU]特征）与同伴功能领域（社交能力、孤独感和亲密友谊质量）之间的关系，并特别关注 CU 特征的作用。124 名小学生（3-6 年级；45%的男孩）完成了多项同伴功能测量，教师完成了外化症状和社交能力测量。在控制人口统计学变量和其他外化症状后，CU 特征与除了亲密友谊中排他性要求之外的所有变量的同伴功能较差显著相关。ADHD 症状也与许多变量的较差社交功能显著相关。相比之下，在控制其他外化问题的影响后，品行问题有时与更好的社交功能相关。这些发现支持了为表现出高 CU 特征的儿童制定和评估社交技能干预措施的重要性。
