Hinden B R, Compas B E, Howell D C, Achenbach T M
Department of Psychology, University of Vermont, Burlington 05405, USA.
J Consult Clin Psychol. 1997 Feb;65(1):6-14. doi: 10.1037//0022-006x.65.1.6.
Nosological (symptom overlap) and methodological (informant) artifact in the covariation of an empirically derived syndrome of anxious-depressed symptoms with 7 other syndromes of emotional and behavior problems was examined in reports by parents, teachers, and adolescents on a nationally representative sample of 908 adolescents. Although minor symptom overlap was observed and the effects of informant were significant, the anxious-depressed syndrome covaried significantly with all other syndromes after controlling for these effects. Indices of covariation controlling for informant effects were all significant and ranged for all syndromes except for delinquent behavior from .619 to .681, reflecting significant covariation of the anxious-depressed syndrome with both externalizing and internalizing syndromes. Covariation of the anxious-depressed syndrome and delinquent behavior was .470. Implications for research on the comorbidity-covariation of depressive syndromes during childhood and adolescence are highlighted.
在对908名青少年的全国代表性样本进行的研究中，家长、教师和青少年报告了一种由经验得出的焦虑抑郁症状综合征与其他7种情绪和行为问题综合征的共变情况，研究考察了其中的疾病分类学（症状重叠）和方法学（信息提供者）假象。尽管观察到了轻微的症状重叠，且信息提供者的影响显著，但在控制这些影响后，焦虑抑郁综合征与所有其他综合征仍存在显著共变。控制信息提供者影响后的共变指数均显著，除违纪行为外，所有综合征的共变指数范围为0.619至0.681，这反映出焦虑抑郁综合征与外化和内化综合征均存在显著共变。焦虑抑郁综合征与违纪行为的共变为0.470。文中强调了该研究对儿童和青少年期抑郁综合征共病共变研究的启示。
