Externalizing behavior disorders in child welfare settings: Definition, prevalence, and implications for assessment and treatment
Externalizing behavior disorders in child welfare settings: Definition, prevalence, and implications for assessment and treatment
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DOI：
10.1016/j.childyouth.2005.08.006
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发表时间：
2006-07-01
影响因子：
3.3
通讯作者：
Price, Joseph M.
中科院分区：
文献类型：
--
作者：
Keil, Vivien;Price, Joseph M.
研究儿童福利机构中青少年外化行为障碍的文献揭示了关于这些问题的严重性和性质的普遍共识。不幸的是，对于外部化问题的操作定义没有达成一致意见。作者根据现有文献和DSM-IV-TR标准提出了一个可操作的定义，然后总结了几项调查中发现的儿童福利机构外部化问题的患病率。作者断言，这一人群很难作为评估和治疗的目标，部分原因是这一群体表现出的特定类型的行为问题的异质性。各种行为评定量表，诊断访谈，和用于子类型外化行为障碍的工具进行审查，讨论他们的心理测量特性和实际效用在儿童福利设置。在这些青年中发现的异质性表明，需要一个更全面和动态的评估和治疗模式，如行为问题预防研究小组使用的多门控方法。(c)2005爱思唯尔有限公司保留所有权利。
The literature examining the externalizing behavior disorders of youth in child welfare settings reveals a general consensus regarding the severity and nature of these problems. Unfortunately, there is not agreement as to the operational definition of externalizing problems. The authors propose an operational definition in light of the existing literature and DSM-IV-TR criteria and then summarize the prevalence rates of externalizing problems in child welfare settings found across several investigations. The authors assert that this population is difficult to target for assessment and treatment due in part to the heterogeneity of the specific types of behavior problems exhibited by this group. A variety of behavior rating scales, diagnostic interviews, and instruments used for subtyping externalizing behavior disorders are reviewed with a discussion of their psychometric properties and practical utility in child welfare settings. The heterogeneity found among these youth suggests the need for a more comprehensive and dynamic assessment and treatment model, such as the multi-gating approach used by The Conduct Problems Prevention Research Group. (c) 2005 Elsevier Ltd. All rights reserved.