MacDonald V M, Achenbach T M
Department of Psychiatry, University of Vermont, Burlington, USA.
J Am Acad Child Adolesc Psychiatry. 1996 Sep;35(9):1237-46. doi: 10.1097/00004583-199609000-00021.
To test the extent to which attention problems, the continuation of early comorbid conduct problems, and overall initial problems account for poor outcome scores on the Child Behavior Checklist and related measures 3 and 6 years after initial assessment.
The course of attention and conduct problems was investigated in a nationally representative US sample assessed three times over 6 years, using standardized ratings of attention, conduct, and other problems and gender-specific scores for defining deviance.
Subjects deviant on both attention and conduct problems scored significantly higher on behavior problems at outcome than did those deviant on only attention problems or conduct problems. After controlling for initial conduct problems, initial attention problems made little unique contribution to later conduct problems. Predictive patterns were similar across gender and age groups.
Both boys and girls who show a combination of attention and conduct problems are at particular risk for the persistence of conduct problems.
检验注意力问题、早期共病的品行问题的持续存在以及总体初始问题在多大程度上导致了初次评估后3年和6年时儿童行为量表及相关测量中的不良结果得分。
在美国一个具有全国代表性的样本中，对注意力和品行问题的发展过程进行了调查，该样本在6年时间里接受了三次评估，使用了注意力、品行及其他问题的标准化评分以及用于界定偏差的特定性别的分数。
在注意力和品行问题上均表现异常的受试者在结果时的行为问题得分显著高于仅在注意力问题或品行问题上表现异常的受试者。在控制了初始品行问题后，初始注意力问题对后期品行问题的独特贡献很小。不同性别和年龄组的预测模式相似。
同时表现出注意力和品行问题的男孩和女孩出现品行问题持续存在的风险尤其高。
