Distinct relationships between social aptitude and dimensions of manic-like symptoms in youth.
Distinct relationships between social aptitude and dimensions of manic-like symptoms in youth.
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DOI：
10.1007/s00787-015-0800-7
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发表时间：
2016-08
影响因子：
6.4
通讯作者：
Stringaris A
中科院分区：
文献类型：
--
作者：
Benarous X;Mikita N;Goodman R;Stringaris A
据报道，患有躁狂症状的儿童和青少年存在人际关系困难，即使他们不符合躁狂发作的标准。社会能力倾向（SA）在青少年躁狂症状中的作用从未在普通人群中进行过研究。此外，没有研究探讨SA是否与躁狂症状的维度有差异。我们假设，主要是控制不足的躁狂症状（特征是易怒）的青年将显示较低水平的SA;相反，主要是旺盛的症状的青年将显示出比平均水平更好的社交技能。我们的样本包括来自2004年英国儿童和青少年心理健康调查（B-CAMHS 04）的5325名参与者，平均年龄10.3岁，SD = 3.3，48%为女孩。通过采访父母和年轻人，使用发展和健康评估来评估躁狂症状。儿童和青少年躁狂症状有较低的SA评分，与一般人群相比，由父母报告，但不是由自我报告。SA评分较高，主要是旺盛的躁狂症状的青少年相比，一般人群，而主要是控制不足的躁狂症状的青少年有较低的SA评分的父母和自我报告。我们的研究结果提供了进一步的证据，旺盛和控制不足的躁狂症状之间的区别，并强调需要在未来的研究中把重点放在SA。本文的在线版本（doi：10.1007/s 00787 -015-0800-7）包含补充材料，可供授权用户使用。
Difficulties with interpersonal relationships have been reported in children and adolescents with manic symptoms, even if they do not fulfil criteria for a manic episode. The role of social aptitude (SA) in youths with manic symptoms has never been examined in the general population. Moreover, no study has examined whether SA is differentially associated with dimensions of manic symptoms. We hypothesised that youth with predominantly undercontrol manic symptoms (characterised by irritability) would show lower levels of SA; conversely, youth with predominantly exuberant symptoms would show better than average social skills. Our sample comprised 5325 participants from the 2004 British Child and Adolescent Mental Health Survey (B-CAMHS04), mean age 10.3 years, SD = 3.3, 48 % girls. Manic symptoms were assessed with the Development and Wellbeing Assessment by interviewing parents and young people. Children and adolescents with manic symptoms had a lower SA score, compared to the general population by parent report, but not by self-report. SA score was higher in youths with predominantly exuberant manic symptoms compared to the general population; whereas the youths with predominantly undercontrol manic symptoms had lower SA scores by parent and self-report. Our results provide further evidence for the distinction between exuberant and undercontrol manic symptoms and highlight the need to focus on SA in future research. The online version of this article (doi:10.1007/s00787-015-0800-7) contains supplementary material, which is available to authorized users.