Woolgar Matt, Baldock Emma
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, King's College London, Box P85, DeCrespigny Park, London, SE5 8AF, UK.
National Adoption and Fostering Service, Michael Rutter Centre, South London & Maudsley NHS Trust, London, UK.
Child Adolesc Ment Health. 2015 Feb;20(1):34-40. doi: 10.1111/camh.12052. Epub 2014 Jan 22.
Attachment disorders in adopted and fostered children may be overdiagnosed and could obscure more common disorders.
A case note review of 100 referrals to a specialist adoption and fostering service compared community referrals with the specialist assessments of attachment disorders.
Attachment disorders were identified four times more often in community referrals versus the specialist service, but this only partly explained the significant under-identification of more common disorders in the community, especially for neurodevelopmental factors and conduct disorder by up to 10-fold.
The relevant practice parameters are discussed and implications for service models for adopted and fostered children reviewed.
收养和寄养儿童的依恋障碍可能被过度诊断，这可能会掩盖更常见的疾病。
对转介到一家专业收养和寄养服务机构的100例病例记录进行回顾，将社区转介病例与依恋障碍的专业评估进行比较。
社区转介病例中发现依恋障碍的频率是专业服务机构的四倍，但这仅部分解释了社区中更常见疾病的显著诊断不足，尤其是神经发育因素和品行障碍的诊断不足高达10倍。
讨论了相关的实践参数，并对收养和寄养儿童的服务模式的影响进行了回顾。
