多个规范者的预后有用性,用于在幼儿时代分类行为问题
Olivier F Colins1, Laura López-Romero2, Estrella Romero2
1Örebro University, Sweden; Ghent University, Belgium.
概括
这项研究研究了行为问题 (CP) 儿童的特定特征如何预测后来的结果. 无情无情的特质与较低的社交技能有关,而宏伟操纵和大胆冲动的特质预测了侵略和犯罪.
科学领域:
- 儿童和青少年精神病学
- 发展心理学 发展心理学
- 法医心理学 法医心理学
背景情况:
- 童年早期的行为问题 (CP) 需要针对性治疗的有效亚型.
- 当前的子类型通常集中在无情无情的特征上,但其他建议的特征,如宏伟的操纵性和大胆的冲动性特征需要调查.
- 这些拟议的指标对长期发展结果的预测有效性仍然在很大程度上未经测试.
研究的目的:
- 纵向检查三个拟议的行为问题指标的预测有效性:无情无情,宏伟操纵和大胆冲动的特征.
- 评估这些特定因素对发展结果的独特贡献,独立于幼儿时代的行为问题.
- 为了告知对行为问题的诊断标准的潜在修订.
主要方法:
- 利用了来自瑞典和西班牙两个社区研究的纵向数据.
- 在使用教师评分的3至5岁儿童中评估行为问题和三个指标.
- 通过多个信息提供者在1~8年后评估的发展结果 (例如,社会能力,侵略性,犯罪率).
主要成果:
- 早期儿童行为问题预测了所有评估的发育结果.
- 无情无情的特征独立地预测了较低的社会能力和亲社会行为.
- 宏伟的操纵性和大胆的冲动性特征分别独立预测了侵略和暴力犯罪,但也预测了更高的亲社会行为/社会能力.
结论:
- 这三个指标显示出与发育结果的明显预测关系,支持它们在行为问题的分类中的有用性.
- 研究结果表明,虽然冷酷无情的特征是重要的,但宏伟操纵和大胆冲动的特征的作用需要进一步考虑.
- 对这些指标的系统评估对于未来的诊断手册 (例如DSM,ICD) 修订至关重要.
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