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儿童精神病理学的三重神经行为相关性:来自健康大脑网络倡议的证据。

Triarchic Neurobehavioral Correlates of Psychopathology in Young Children: Evidence from the Healthy Brain Network Initiative.

机构信息

Department of Psychology, Georgia State University, Atlanta, GA.

Department of Psychology, Florida State University, Tallahassee, FL.

出版信息

J Pers Assess. 2021 Sep-Oct;103(5):588-601. doi: 10.1080/00223891.2020.1814311. Epub 2020 Sep 23.

Abstract

Recent initiatives emphasize the need to consider developmental and transdiagnostic contributions of temperamental variation to psychopathological expression. Triarchic neurobehavioral trait dimensions (), which demonstrate compatibility with established temperament models and can be quantified using items from different existing inventories, are well-suited to pursuing these goals. We undertook to develop item-based scales for indexing these traits in 285 children (ages 5-10) tested in the Child Mind Institute's Healthy Brain Network (HBN) study, and evaluated their psychometric properties in two separate samples of similar-aged children: 519 others from the HBN study and 261 for whom parental-informant ratings were obtained through MTurk. Associations with psychopathology measures provided evidence for a) transdiagnostic utility of the triarchic scales, b) (reversed) boldness as the strongest predictor of internalizing problems, c) meanness as related to both internalizing and externalizing problems, d) disinhibition as the strongest predictor of externalizing problems, and e)a moderating effect of meanness level on disinhibition's relationship with externalizing problems. This research demonstrates that the triarchic traits can be effectively represented in young children and show expected relations with clinical outcome measures. As such, this work provides a foundation for developmental research clarifying the role that core neurobehavioral dispositions play in mental health.

摘要

最近的一些举措强调,需要考虑气质变化对心理病理学表现的发展和跨诊断贡献。三因素神经行为特质维度()与已建立的气质模型兼容,并且可以使用来自不同现有量表的项目进行量化,非常适合实现这些目标。我们着手为在儿童心理健康研究所的健康大脑网络(HBN)研究中测试的 285 名儿童(年龄 5-10 岁)开发用于索引这些特质的基于项目的量表,并在两个具有相似年龄的儿童的独立样本中评估其心理计量学特性:HBN 研究中的另外 519 名儿童和通过 MTurk 获得父母信息者的 261 名儿童。与精神病理学测量的关联为以下内容提供了证据:(a) 三因素量表的跨诊断效用,(b)(反向)大胆是预测内化问题的最强指标,(c) 卑鄙与内化和外化问题都有关,(d) 抑制解除是外化问题的最强预测指标,以及 (e) 卑鄙水平对抑制解除与外化问题关系的调节作用。这项研究表明,三因素特质可以在幼儿中得到有效体现,并与临床结果测量指标呈现预期的关系。因此,这项工作为阐明核心神经行为倾向在心理健康中的作用的发展研究提供了基础。

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