Stewart M A, Behar D
Acta Psychiatr Scand. 1983 Sep;68(3):178-85. doi: 10.1111/j.1600-0447.1983.tb06997.x.
The subjects were 46 boys with aggressive conduct disorder who were admitted to a psychiatric ward. We divided them according to level of activity and number of antisocial "symptoms"; then compared the resulting groups on clinical and social variables. Seventy-four per cent of the boys were observed to be hyperactive. Compared to those with a normal level of activity, this group developed their problems earlier, had more frequent speech and language deficits and came from more disrupted homes. Thirty boys were classed as antisocial and 16 as not. The former differed from the latter chiefly in their failure to respond to treatment. At follow-up significantly more non-antisocial boys were improved than antisocial. The results suggest that antisocial behavior affects outcome, while the variations in activity level are related to different origins of the disorder.
研究对象为46名患有攻击性行为障碍的男孩,他们被收治于一家精神病病房。我们根据活动水平和反社会“症状”数量对他们进行分组,然后比较不同组在临床和社会变量方面的差异。观察发现,74%的男孩表现为多动。与活动水平正常的男孩相比,这组男孩出现问题的时间更早,言语和语言缺陷更为频繁,且家庭环境更为混乱。30名男孩被归类为反社会型,16名则不是。前者与后者的主要区别在于他们对治疗无反应。随访结果显示,改善的非反社会型男孩显著多于反社会型男孩。结果表明,反社会行为会影响治疗结果,而活动水平的差异与该障碍的不同起源有关。