Callous-unemotional traits and subtypes of conduct disorder.
Callous-unemotional traits and subtypes of conduct disorder.
复制标题
冷酷无情的特征和行为障碍的亚型。
DOI：
10.1023/a:1021803005547
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发表时间：
1999
影响因子：
6.9
通讯作者：
Ellis,M
中科院分区：
文献类型：
--
作者：
Frick,PJ;Ellis,M
越来越多的人达成共识，认为品行障碍(CD)儿童是一个非常不同的群体，其中包括在发育、病程和病因上有很大差异的儿童。虽然许多人已经认识到这种异质性对于发展更好的因果理论和开发更有效的治疗方法的重要性，但对于CD儿童亚型的最佳方法还没有达成一致意见。在这篇文章中，我们回顾了几种亚型的方法，每一种方法都有一些证据证明其在某些目的上的有效性。我们专注于最近的两种方法，这两种方法具有整合过去的亚型方法和推进因果理论的巨大潜力。第一种方法是将CD儿童分为儿童期起病的严重反社会行为儿童和青春期起病的行为儿童。第二种方法是指定儿童期发病组中表现出冷酷无情和无情感特征的儿童，这类似于成人对精神变态的概念化。这两种方法都有助于确定哪些儿童表现出严重的攻击性和反社会行为背后的不同因果过程，以及哪些儿童可能需要采取不同的治疗方法。
There has been growing consensus that children with conduct disorder (CD) constitute a very heterogeneous group containing children who vary substantially on the development, course, and causes of the disorder. While many have recognized the importance of this heterogeneity for developing better causal theories and for developing more effective treatments, there has been little consensus as to the best way to subtype children with CD. In this paper, we review a number of approaches to subtyping, each with some evidence for its validity for certain purposes. We focus on two recent approaches that have great potential for integrating past subtyping approaches and for advancing causal theory. The first approach is the division of children with CD into those with a childhood onset to their severe antisocial behavior and those with an adolescent onset to their behavior. The second approach is to designate children within the childhood-onset group who show callous and unemotional traits, which is analogous to adult conceptualizations of psychopathy. Both approaches help designate children who many show different causal processes underlying their severe aggressive and antisocial behavior, and who may warrant different approaches to treatment.