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儿童精神科住院患者的同伴地位与社会能力:抑郁、外化及共病抑郁和外化障碍儿童的比较

Peer status and social competence in child psychiatric inpatients: a comparison of children with depressive, externalizing, and concurrent depressive and externalizing disorders.

作者信息

Asarnow J R

机构信息

UCLA Neuropsychiatric Institute 90024.

出版信息

J Abnorm Child Psychol. 1988 Apr;16(2):151-62. doi: 10.1007/BF00913591.

DOI:10.1007/BF00913591
PMID:3385080
Abstract

Social competence, peer status, and clinical symptomatology were evaluated in 54 child psychiatric inpatients. Aims were (a) to evaluate whether social competence deficits and peer rejection within an inpatient setting were associated with particular childhood disorders, and (b) to identify predictors of peer status in emerging groups of child inpatients. Results indicated that children with externalizing disorders (conduct or attention deficit disorders) and children with concurrent depressive and externalizing disorders were the most rejected, least liked, and least socially competent children. Depressed children without externalizing disorders had the highest scores on the social status and competence measures. Predictors of peer rejection and acceptance in the hospital differed, with measures of symptomatology predicting peer rejection, and measures of social and intellectual competence predicting peer acceptance. Implications of the results for understanding the role of peer adjustment and social competence in developmental psychopathology were discussed.

摘要

对54名儿童精神科住院患者的社交能力、同伴地位和临床症状进行了评估。目的是:(a)评估住院环境中的社交能力缺陷和同伴排斥是否与特定的儿童疾病相关;(b)确定儿童住院患者新出现群体中同伴地位的预测因素。结果表明,患有外化性障碍(品行或注意力缺陷障碍)的儿童以及同时患有抑郁和外化性障碍的儿童是最受排斥、最不受喜欢且社交能力最差的儿童。没有外化性障碍的抑郁儿童在社会地位和能力测量中得分最高。医院中同伴排斥和接纳的预测因素不同,症状测量预测同伴排斥,而社会和智力能力测量预测同伴接纳。讨论了这些结果对于理解同伴适应和社交能力在发展性精神病理学中的作用的意义。

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