Stanger C, MacDonald V V, McConaughy S H, Achenbach T M
Department of Psychiatry, University of Vermont, Burlington 05401, USA.
J Abnorm Child Psychol. 1996 Oct;24(5):597-614. doi: 10.1007/BF01670102.
This study sought to identify which syndromes of initial problems predicted later syndromes among children and youths referred for mental health services. Standardized parent reports on the Child Behavior Checklist obtained at intake were compared to standardized parent, teacher, and self-reports obtained at follow-up. There were 1,103 subjects (774 males and 329 females) 4 to 18 years old, followed up an average of 6 years after referral. High quantitative and categorical stability was found for cross-informant syndromes within samples of younger and older subjects. Throughout childhood and into young adulthood, parent ratings of most syndromes at the time of referral predicted the counterpart cross-informant syndrome construct at follow-up, controlling for other types of problems at referral. There were multiple additional independent predictors of many syndromes, including Delinquent Behavior, Aggressive Behavior, and Shows Off for young adult males. Time 1 Social Problems and Attention Problems independently predicted diverse problems at Time 2 for younger males. A wide variety of problems also predicted younger males' self-ratings of withdrawal, anxiety, and depression. The stability of problems for the referred sample was similar to that found for demographically matched nonreferred subjects drawn from a national sample.
本研究旨在确定在转介接受心理健康服务的儿童和青少年中，哪些初始问题综合征能预测后期综合征。将 intake 时获得的关于儿童行为检查表的标准化家长报告与随访时获得的标准化家长、教师和自我报告进行比较。共有1103名4至18岁的受试者（774名男性和329名女性），转介后平均随访6年。在较年轻和较年长受试者样本中，发现跨信息提供者综合征具有较高的定量和分类稳定性。在整个童年期直至青年期，转介时大多数综合征的家长评分在控制转介时的其他类型问题后，可预测随访时对应的跨信息提供者综合征结构。许多综合征还有多个额外的独立预测因素，包括青年男性的违法行为、攻击行为和炫耀行为。对于较年轻男性，时间1的社交问题和注意力问题独立预测了时间2的多种问题。各种各样的问题也预测了较年轻男性对退缩、焦虑和抑郁的自我评分。转介样本中问题的稳定性与从全国样本中抽取的人口统计学匹配的未转介受试者的稳定性相似。
