Vostanis P, Nicholls J
University of Birmingham, Queen Elizabeth Psychiatric Hospital, Edgbaston, U.K.
J Child Psychol Psychiatry. 1995 Jul;36(5):833-46. doi: 10.1111/j.1469-7610.1995.tb01332.x.
In this follow-up study, mothers of 28 children with conduct disorders (CD) and 29 children with emotional disorders (ED) of 6-11 years of age, were interviewed and rated for expressed emotion 9 months after their first clinical assessment. Mothers of children with CD expressed significantly less criticism and higher warmth after 9 months. Initial externalizing scores in the CD group and initial internalizing scores in the ED group at the first assessment predicted symptomatic change, in contrast with EE scales. Initial externalizing scores and low levels of maternal warmth predicted presence of conduct disorder at the last contact with the clinician. The implications of the findings on the development of treatment techniques are discussed.
在这项随访研究中,对28名患有品行障碍(CD)的6至11岁儿童和29名患有情绪障碍(ED)的6至11岁儿童的母亲进行了访谈,并在首次临床评估9个月后对她们的情感表达进行了评分。患有品行障碍儿童的母亲在9个月后表现出明显更少的批评和更高的温情。与情感表达(EE)量表相反,品行障碍组的初始外化得分和情绪障碍组首次评估时的初始内化得分预测了症状变化。初始外化得分和母亲温情水平低预测了在与临床医生最后一次接触时品行障碍的存在。讨论了这些发现对治疗技术发展的意义。