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儿童外化问题的诊断、评估与治疗:纵向数据的作用

Diagnosis, assessment, and treatment of externalizing problems in children: the role of longitudinal data.

作者信息

McMahon R J

机构信息

Department of Psychology, University of Washington, Seattle 98195.

出版信息

J Consult Clin Psychol. 1994 Oct;62(5):901-17. doi: 10.1037//0022-006x.62.5.901.

DOI:10.1037//0022-006x.62.5.901
PMID:7806720
Abstract

Prospective longitudinal studies that pertain to the stability, developmental pathways, and long-term outcome for the 2 primary forms of externalizing behavior problems (conduct problems [CP] and hyperactivity [HA]) are described. Treatment outcome studies for CP and HA with at least 1 year of follow-up data are reviewed. The implications of longitudinal research for the diagnosis, assessment, and treatment of externalizing behavior problems in children are discussed. Greater attention must be paid to issues related to comorbidity, developmentally appropriate assessments, and long-term outcome of interventions. Longitudinal-experimental investigations that serve to delineate developmental pathways as well as assess the effects of developmentally sensitive, comprehensive interventions are recommended.

摘要

本文描述了前瞻性纵向研究,这些研究涉及外化行为问题的两种主要形式(品行问题[CP]和多动[HA])的稳定性、发展路径和长期结果。回顾了对CP和HA进行的、有至少1年随访数据的治疗结果研究。讨论了纵向研究对儿童外化行为问题的诊断、评估和治疗的意义。必须更加关注与共病、适合发育阶段的评估以及干预措施的长期结果相关的问题。建议开展纵向实验研究,以描绘发展路径并评估具有发育敏感性的综合干预措施的效果。

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