Szatmari P, Boyle M H, Offord D R
Department of Psychiatry, Faculty of Health Sciences, McMaster University, Hamilton, Ont., Canada.
Am J Psychiatry. 1993 Sep;150(9):1398-403. doi: 10.1176/ajp.150.9.1398.
This study sought to evaluate the existence and implications of familial aggregation of emotional and behavioral problems of childhood in a general population sample.
The children included in the study were chosen with the use of a sampling technique that identified households in which there were two or more children aged 4-16 years living at home at the time of the survey. Ratings on checklists of emotional and behavioral problems were obtained from parents, teachers of children in elementary school, and the children themselves if they were adolescents aged 12-16. Children were classified as having problems if their scores on scales of conduct, attention deficit, or emotional problems were in the top 10% of the distribution of scores from any informant.
There was evidence for familial aggregation of these problems, particularly conduct and emotional problems. However, this was largely derived from the parents' reports of symptoms, not the teachers' or adolescents' reports. The degree of familial aggregation varied according to certain sibship characteristics and patterns of comorbidity.
Familial aggregation of emotional and behavioral problems does exist in a community population and is not simply an artifact of clinic attendance.
本研究旨在评估普通人群样本中儿童情绪和行为问题的家族聚集性及其影响。
研究中纳入的儿童采用抽样技术选取，该技术能识别出在调查时家中有两名或更多4至16岁儿童居住的家庭。通过父母、小学儿童的教师以及12至16岁青少年自身，获取关于情绪和行为问题清单的评分。如果儿童在品行、注意力缺陷或情绪问题量表上的得分处于任何信息提供者得分分布的前10%，则被归类为有问题。
有证据表明这些问题存在家族聚集性，尤其是品行和情绪问题。然而，这主要源于父母对症状的报告，而非教师或青少年的报告。家族聚集程度因某些同胞关系特征和共病模式而异。
社区人群中确实存在情绪和行为问题的家族聚集性，并非仅仅是就诊的人为现象。
