早期学龄期易怒性谱的发育特定表征:对务实的心理健康查的影响
Emily Hirsch1, Tasmia Alam2, Nathan Kirk2
1Department of Psychology, Fordham University, Bronx, New York, USA.
International journal of methods in psychiatric research
|September 15, 2023
概括
一个新的查工具有效地识别了早期学龄青年的易怒性,预测了未来的精神病理风险. 这种工具,即多维评估概况尺度-温度损失尺度-青年 (MAPS-TL-Youth),有助于早期检测这种风险因素.
科学领域:
- 儿童和青少年精神病学
- 发展心理学 发展心理学
- 心理测量 心理测量 心理测量
背景情况:
- 易怒是青少年精神病理学的跨诊断风险因素.
- 需要采取适当的发育措施来评估学龄儿童早期的易怒性.
- 现有的措施可能无法完全捕捉与临床损伤相关的易怒性谱.
研究的目的:
- 在早期学龄青年中建模正常和异常易怒的频谱.
- 为这一群体开发和验证一个临床优化的易怒性查工具.
- 评估选器对未来精神病理学的预测效用.
主要方法:
- 用物品反应理论 (IRT) 来用多维评估概况尺度-温度损失尺度-青年 (MAPS-TL-Youth) 来建模易怒性谱.
- 与核心易怒性项目一起,包括了特定于发育的项目.
- 从与损伤相关的项目中提取了一个简短的选器,并纵向测试了它的预测效用.
主要成果:
- 大多数孩子都经常经历烦躁,但每天发生的情况并不频繁.
- MAPS-TL-Youth选器从两个关键项目中得出的结果显示,与易怒性相关的诊断具有良好的敏感性 (69%) 和特异性 (84%).
- 早期学龄段的高选分数预测了青春期前心理病理的几率增加了七倍以上.
结论:
- MAPS-TL-Youth有效地描述了早期学龄青年易怒的发育谱.
- 衍生的临床查仪在预测精神病理风险方面表现有前途.
- 对临床应用的进一步严格测试是有必要的.
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