Rages or temper tantrums? The behavioral organization, temporal characteristics, and clinical significance of angry-agitated outbursts in child psychiatry inpatients.
Rages or temper tantrums? The behavioral organization, temporal characteristics, and clinical significance of angry-agitated outbursts in child psychiatry inpatients.
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DOI：
10.1007/s10578-009-0148-7
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发表时间：
2009-12
影响因子：
2.9
通讯作者：
Wall, Melanie
中科院分区：
文献类型：
--
作者：
Potegal, Michael;Carlson, Gabrielle;Margulies, David;Gutkovitch, Zinoviy;Wall, Melanie
愤怒，激动的爆发（AAO）是儿童精神病住院的常见诱因。在医院中，AAO带来了管理和诊断方面的挑战，例如，虽然他们最近被描述为狂躁的“愤怒”，但较早的研究表明，他们可能是加剧的脾气暴躁。因素分析的109个AAO由46住院4至12奥尔兹的孩子产生了3个子集的行为表达不同强度的愤怒和2个子集表达不同强度的痛苦（悲伤）。聚类分析的行为时程支持愤怒，痛苦的区别，前者的行为是最有可能在AAO发病，然后下降，而后者更均匀地分布在整个爆发。年龄趋势，因素结构和时间组织的AAO都表明，他们是加剧发脾气。焦虑或PDD诊断的儿童的AAO显示出显着更多的痛苦相对于愤怒。AAO具有临床意义，其特定特征可能具有诊断意义。
Angry, agitated outbursts (AAOs) are a common precipitant of children’s psychiatric hospitalization. In the hospital, AAOs present both management and diagnostic challenges, e.g., while they have recently been described as manic “rages”, older studies suggest that they may be exacerbated temper tantrums. Factor analyses of 109 AAOs had by 46 hospitalized 4 to 12 year olds yielded 3 subsets of behaviors expressing different intensities of anger and 2 subsets expressing different intensities of distress (sadness). Cluster analysis of behavior time course supported the anger-distress distinction; the former behaviors are most probable at AAO onset and then decline while the latter are more evenly distributed across the outburst. Age trends, factor structure, and temporal organization of AAOs all indicate that they are exacerbated tantrums. The AAOs of children with anxiety or PDD diagnoses showed significantly more distress relative to anger. AAOs have clinical implications; their particular characteristics may have diagnostic significance.
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影响因子：
3.3
作者：
Bambauer, KZ;Connor, DF
通讯作者：
Connor, DF
DOI：
10.1097/00004583-200010000-00014
发表时间：
2000-10-01
影响因子：
13.3
作者：
Budman, CL;Bruun, RD;Olson, M
通讯作者：
Olson, M
DOI：
10.1097/00004583-199107000-00021
发表时间：
1991-07-01
影响因子：
13.3
作者：
GRAYSON, P;CARLSON, GA
通讯作者：
CARLSON, GA
DOI：
10.1007/bf01258080
发表时间：
1983-01-01
期刊：
CHILD CARE QUARTERLY
影响因子：
--
作者：
MULLEN, JK
通讯作者：
MULLEN, JK
DOI：
10.1097/00004583-199301000-00020
发表时间：
1993-01-01
影响因子：
13.3
作者：
GOLD, J;SHERA, D;CLARKSON, B
通讯作者：
CLARKSON, B