Salekin Randall T, Bellamy Nicholas A, DeGroot Harriet R, Avellan Jenson J, Butler Isabella G, Grant Jessica C
Department of Psychology, University of Alabama.
Department of Psychology, University of British Columbia.
J Clin Child Adolesc Psychol. 2025 Jan-Feb;54(1):163-179. doi: 10.1080/15374416.2024.2447240. Epub 2025 Mar 4.
Conduct disorder (CD) is a psychiatric diagnosis characterized by a repetitive and persistent pattern of behavior in which the basic rights of others or major age-appropriate social norms or rules are violated. This article presents information on CD with an emphasis on a new multispecifier personality model that could offer a valuable new perspective on CD by refining the way we specify CD. The multispecifier model may have the potential to clarify the considerable confusion that has occurred over past decades and improve our understanding of prevalence, etiology, course, and treatment of youth with conduct problems. In this paper, we present a new structure for CD designed to inspire new lines of research that may be needed to help the field more fully capitalize on this innovation. With additional research, it is hoped that the new multispecifier model will eventually buy clinicians additional information that cannot be gleaned from current diagnostic criteria and will help clinicians and researchers further uncover the factors that promote or protect against the development of CD. This paper delineates the areas of research that will be needed to fully realize the potential of a multispecifier model and ultimately to improve clinical care for children and adolescents with CD.
品行障碍（CD）是一种精神疾病诊断，其特征是存在反复且持续的行为模式，在这种模式中，他人的基本权利或主要的适龄社会规范或规则受到侵犯。本文介绍了有关品行障碍的信息，重点是一种新的多特质人格模型，该模型通过改进我们对品行障碍的界定方式，可能为品行障碍提供一个有价值的新视角。多特质模型有可能澄清过去几十年来出现的相当大的混乱，并增进我们对有品行问题青少年的患病率、病因、病程和治疗的理解。在本文中，我们提出了一种品行障碍的新结构，旨在激发可能需要的新研究方向，以帮助该领域更充分地利用这一创新。通过进一步研究，希望新的多特质模型最终能为临床医生提供从当前诊断标准中无法获取的额外信息，并帮助临床医生和研究人员进一步揭示促进或预防品行障碍发展的因素。本文阐述了充分实现多特质模型的潜力并最终改善对患有品行障碍的儿童和青少年的临床护理所需的研究领域。
