DSM-III-R disorders in preschool children from low-income families
DSM-III-R disorders in preschool children from low-income families
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DOI：
10.1097/00004583-199705000-00012
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发表时间：
1997-05-01
影响因子：
13.3
通讯作者：
Giovannelli, J
中科院分区：
文献类型：
--
作者：
Keenan, K;Shaw, DS;Giovannelli, J
目标：在低收入家庭的学龄前儿童样本中生成DSM-III-R障碍的发生率，检查符合DSM-III-R障碍标准的学龄前儿童的损伤评级，并比较使用DSM-III-R标准的精神病理学发生率与儿童行为检查表（CBCL）生成的发生率。方法：作为正在进行的对104个来自低收入家庭的母子二人组的纵向研究的一部分，在孩子5岁时收集数据。DSM-III-R障碍通过给母亲执行学龄儿童情感障碍和精神分裂症时间表进行诊断，母亲参加CBCL。结果如下：来自低收入家庭的学龄前儿童的DSM-III-R障碍率高于社区样本中报告的疾病率，但与低收入学龄儿童和青少年的比率相当。符合DSM-III-R疾病标准的儿童被评为严重受损。根据DSM-III-R标准和CBCL，行为和情绪问题的患病率相似。然而，有一些证据表明，这两个系统识别的儿童不同。结论：DSM-III-R标准似乎足以识别学龄前儿童严重的行为和情绪问题。纵向研究需要进一步探索DSM和CBCL在学龄前儿童精神病理学鉴定中的相对效用。
Objective: To generate rates of DSM-III-R disorders in a sample of preschool children from low-income families, examine impairment ratings for preschool children meeting criteria for DSM-III-R disorders, and compare rates of psychopathology using DSM-III-R criteria with rates generated by the Child Behavior Checklist (CBCL). Method: As part of an ongoing longitudinal study of 104 mother-child dyads from low-income families, data were gathered when children were 5 years of age. DSM-III-R disorders were diagnosed through the administration of the Schedule for Affective Disorders and Schizophrenia for School-Age Children to the mothers, and mothers competed the CBCL. Results: Rates of DSM-III-R disorders among preschool children from low-income families were higher than those reported in community samples, but comparable with rates for low-income school-age children and adolescents. Children meeting criteria for DSM-III-R disorders were rated as significantly impaired. The prevalence of behavioral and emotional problems was similar by both DSM-III-R criteria and the CBCL. There was some evidence, however, that the two systems identified different children. Conclusions: DSM-III-R criteria appear to adequately identify preschool children with serious behavioral and emotional problems. Longitudinal studies are needed to explore further the relative utility of the DSM and CBCL in the identification of psychopathology in preschool children.