Elhami Athar Mojtaba
Darkmind Research Group, Tabriz, Iran.
Child Psychiatry Hum Dev. 2024 Nov 5. doi: 10.1007/s10578-024-01776-1.
This study aimed to assess the clinical utility of the "Limited Prosocial Emotions" (LPE) specifier in subtyping conduct problems (CP) and oppositional defiant problems (ODP) among two samples including 1203 parent-child dyads and 1,937 school-attending youths in Iran. The prevalence of LPE across the entire sample, as well as subsamples of youths with clinically elevated levels of CP and ODP, were examined. CP + LPE individuals scored significantly higher than CP-Only youths on several measures of externalizing psychopathology and depression, although these findings were not fully consistent across informants. Several anticipated differences in measures of aggression and antisocial behavior were not found. Also, no significant group differences were observed between the ODP + LPE and ODP-Only groups concerning externalizing and internalizing psychopathology. In the total sample, youths with LPE scored significantly higher in measures of externalizing and internalizing psychopathology than those without LPE, though the magnitude of these differences was in small ranges. Overall, the findings provide only limited support for the clinical utility of the LPE specifier for CP and none whatsoever for ODP.
本研究旨在评估“有限亲社会情感”(LPE)说明符在对伊朗1203对亲子二元组和1937名在校青少年这两个样本中的行为问题(CP)和对立违抗问题(ODP)进行亚型分类时的临床效用。研究考察了整个样本中LPE的患病率,以及临床CP和ODP水平升高的青少年子样本的患病率。CP + LPE个体在几项外化精神病理学和抑郁测量指标上的得分显著高于仅患CP的青少年,尽管这些结果在不同信息提供者之间并不完全一致。未发现攻击和反社会行为测量指标上的一些预期差异。此外,在ODP + LPE组和仅患ODP组之间,在外化和内化精神病理学方面未观察到显著的组间差异。在总样本中,有LPE的青少年在外化和内化精神病理学测量指标上的得分显著高于没有LPE的青少年,尽管这些差异的幅度较小。总体而言,研究结果仅为LPE说明符对CP的临床效用提供了有限支持,而对ODP则毫无支持。