Taylor E, Everitt B, Thorley G, Schachar R, Rutter M, Wieselberg M
Br J Psychiatry. 1986 Dec;149:768-77. doi: 10.1192/bjp.149.6.768.
Sixty boys, aged from 6 to 10 years, were studied after their referral to psychiatric clinics for antisocial or disruptive behaviour. Their scores on reliable measures of hyperactivity, defiant behaviour, emotional disorder and attention deficit were taken for the home, school and clinic settings; and subjected to two techniques of cluster analysis. Both gave a similar set of clusters, one of which had high scores on all measures of hyperactivity and attention deficit. Membership of this cluster was associated with a lower IQ, a younger age of problem onset and referral, an abnormal neurological examination, a history of developmental delay, smaller family size, poor peer relationships and a high rate of accidental injuries; and it predicted a good response to stimulant medication in a controlled trial. Other research on the classification of hyperactivity is discussed, and proposals are made for the criteria of a rather narrow definition of 'hyperkinetic conduct disorder'.
60名年龄在6至10岁之间的男孩因反社会或破坏性行为被转介到精神科诊所后接受了研究。记录了他们在家庭、学校和诊所环境中多动症、违抗行为、情绪障碍和注意力缺陷可靠测量指标上的得分；并采用了两种聚类分析技术。两种技术都得出了一组相似的聚类，其中一组在多动症和注意力缺陷的所有测量指标上得分都很高。该聚类中的成员与较低的智商、问题开始和转诊的年龄较小、神经系统检查异常、发育迟缓史、家庭规模较小、同伴关系不佳以及意外伤害发生率较高有关；并且在一项对照试验中，它预测对兴奋剂药物有良好反应。还讨论了关于多动症分类的其他研究，并就“多动性品行障碍”狭义定义的标准提出了建议。
