Mattison R E, Morales J, Bauer M A
Division of Child Psychiatry, Washington University School of Medicine, St. Louis, MO.
J Am Acad Child Adolesc Psychiatry. 1993 Nov;32(6):1223-8. doi: 10.1097/00004583-199311000-00016.
The primary purpose of this study was to determine basic psychosocial characteristics for adolescent socially and emotionally disturbed (SED) boys.
Boys aged 12 to 16 years who were recommended for SED placement were compared with same-aged boys recommended for other educational intervention. The main measures were the Kiddie SADS-E interview and Achenbach's parent Child Behavior Checklist and Teacher Report Form scales.
The adolescent SED boys were found to have normal intelligence, high rates of family stressors, predominantly DSM-III externalizing disorders, serious dysfunction according to checklist ratings by both teachers and parents, and little current community mental health intervention. They were significantly different from the comparison group on several variables: lower socioeconomic status, more abuse experience, greater diagnostic comorbidity, higher Axis V clinician ratings, and higher teacher ratings on externalizing scales.
Findings are similar to those for other age-gender groups of SED students. One implication is the need for more private child psychiatrists to become involved in the collaborative treatment of this complex and seriously ill group of special education students. Consequently, a second implication is to increase the experience of child psychiatry trainees in dealing with the many consultative needs of SED students and staff.
本研究的主要目的是确定青少年社会情绪障碍（SED）男孩的基本心理社会特征。
将被推荐接受SED安置的12至16岁男孩与被推荐接受其他教育干预的同龄男孩进行比较。主要测量方法为儿童版情感障碍和精神分裂症问卷（Kiddie SADS-E）访谈以及阿肯巴克儿童行为量表（父母版和教师版）。
发现青少年SED男孩智力正常，家庭压力源发生率高，主要为《精神疾病诊断与统计手册》第三版（DSM-III）中的外化性障碍，根据教师和父母的清单评分显示存在严重功能障碍，且目前很少接受社区心理健康干预。他们在几个变量上与对照组有显著差异：社会经济地位较低、虐待经历更多、诊断合并症更多、轴V临床医生评分更高以及教师在外化量表上的评分更高。
研究结果与其他年龄 - 性别的SED学生群体相似。一个启示是需要更多的私人儿童精神科医生参与到对这群复杂且重病的特殊教育学生的联合治疗中。因此，另一个启示是增加儿童精神病学实习生应对SED学生及其工作人员众多咨询需求的经验。
