Fergusson D M, Horwood L J, Lynskey M T
Christchurch School of Medicine, Christchurch Hospital, New Zealand.
J Child Psychol Psychiatry. 1993 Sep;34(6):899-916. doi: 10.1111/j.1469-7610.1993.tb01097.x.
The relationship between conduct disorder and attention deficit behaviours in middle childhood (6, 8 and 10 years) and juvenile offending and academic achievement were examined in a birth cohort of New Zealand children. The application of structural equation modelling methods suggested that early behavioural tendencies are related to later developmental outcomes by two highly correlated but distinct developmental progressions. In the first such progression, early conduct disorder behaviours acted as a precursor of future offending patterns but these behaviours were unrelated to later school performance when the correlation between conduct disorder and attention deficit was taken into account. In the second developmental progression early attentional/cognitive behaviours were related to future school performance but were unrelated to the development of antisocial behaviours when the correlations between conduct disorder and cognitive/attentional variables were taken into account. The implications of these findings for validating the distinction between conduct disorder and attention deficit behaviours is discussed and the problems of analysing and explaining the high comorbidity between conduct disorder and attention deficit behaviours are considered.
在一组新西兰出生队列儿童中，研究了童年中期（6岁、8岁和10岁）品行障碍与注意力缺陷行为之间的关系，以及青少年犯罪与学业成绩之间的关系。结构方程建模方法的应用表明，早期行为倾向通过两个高度相关但又截然不同的发展进程与后期发展结果相关。在第一个这样的进程中，早期品行障碍行为是未来犯罪模式的先兆，但当考虑到品行障碍与注意力缺陷之间的相关性时，这些行为与后期学业表现无关。在第二个发展进程中，早期注意力/认知行为与未来学业表现相关，但当考虑到品行障碍与认知/注意力变量之间的相关性时，与反社会行为的发展无关。讨论了这些发现对验证品行障碍与注意力缺陷行为之间区别的意义，并考虑了分析和解释品行障碍与注意力缺陷行为之间高共病性的问题。
