The Dysregulation Profile in Young Children: Empirically Defined Classes in the Generation R Study
The Dysregulation Profile in Young Children: Empirically Defined Classes in the Generation R Study
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DOI：
10.1016/j.jaac.2013.05.007
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发表时间：
2013-08-01
影响因子：
13.3
通讯作者：
van der Ende, Jan
中科院分区：
文献类型：
--
作者：
Basten, Maartje M. G. J.;Althoff, Robert R.;van der Ende, Jan
目的：同时发生内化和外化问题的儿童在以后的生活中有更高水平的损伤和更差的结果，但目前还不清楚这些儿童是否可以有效地从儿童谁有问题，在一个单一的领域。我们使用以人为本的统计方法来检查是否可以在幼儿的一般人群样本中识别出一组同时发生内化和外化问题的儿童。方法：本研究包括6，131名5至7岁儿童的人群样本。母亲（92.6%）使用儿童行为检查表/1.5-5（CBCL）报告情绪和行为问题。对CBCL综合征量表进行潜在特征分析。使用多项逻辑回归分析比较了早期社会经济和父母风险因素的识别类别。结果如下：我们确定了4类，如下：一类在所有内化和外化量表上得分高（1.8%）;一类有内化问题（5.3%）;一类有外化问题和情绪反应（7.3%）;一类没有问题（85.6%）。第一类，与共同发生的问题，与较高水平的母亲和父亲的情感症状和敌意比其他3类。结论：类与共同发生的内化和外化的问题似乎是高度相似的CBCL失调的描述在年龄较大的儿童。这种基于经验的失调概况为研究自我调节不良的发展提供了希望。
Objective: Children with co-occurring internalizing and externalizing problems have higher levels of impairment and worse outcomes later in life, but it is unclear whether these children can be distinguished validly from children who have problems in a single domain. We used a person-centered statistical approach to examine whether a group of children with co-occurring internalizing and externalizing problems can be identified in a general-population sample of young children. Method: This study included a population-based sample of 6,131 children, aged 5 through 7 years. Mothers (92.6%) reported emotional and behavioral problems using the Child Behavior Checklist/1.5-5 (CBCL). A latent profile analysis was performed on the CBCL syndrome scales. Identified classes were compared on early socioeconomic and parental risk factors using multinomial logistic regression. Results: We identified 4 classes, as follows: a class scoring high on all internalizing and externalizing scales (1.8%); a class with internalizing problems (5.3%); a class with externalizing problems and emotional reactivity (7.3%); and a class without problems (85.6%). The first class, with co-occurring problems, was associated with higher levels of maternal and paternal affective symptoms and hostility than the other 3 classes. Conclusions: The class with co-occurring internalizing and externalizing problems appears to be highly similar to the CBCL Dysregulation Profile described in older children. This empirically based dysregulation profile offers a promise to the study of the development of poor self-regulation.