Clinically Referred ODD Children with or without CD and Healthy Controls: Comparisons Across Contextual Domains
Clinically Referred ODD Children with or without CD and Healthy Controls: Comparisons Across Contextual Domains
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临床转诊的患有或不患有 CD 的 ODD 儿童和健康对照：跨背景领域的比较
DOI：
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Jeffrey D. Burke
中科院分区：
文献类型：
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作者：
D. Kolko;L. Dorn;O. Bukstein;Jeffrey D. Burke
本研究比较了6 - 11岁临床诊断为对立违抗性障碍（ODD + CD, n = 40）或无品行障碍（ODD, n = 136）的男孩和女孩与健康对照儿童（HC, n = 69）的匹配样本。多名信息提供者完成了摄入诊断访谈和自我报告，以评估检查儿童功能的结构和环境对功能的影响（例如，父母、家庭、同伴、社区）。ODD + CD和ODD独生子女在与不良同伴接触较多和父母自我效能感较低方面与hc有所区别。在与HC组的进一步比较中，ODD单独状态与父母使用心理攻击和更多压力生活事件有关，而ODD + CD状态与父母更大的敌意有关。相对于ODD单独状态，ODD + CD状态在除一个变量（更大的父母敌意）之外的所有变量上都具有可比性。类似的结果报告仅使用了一小部分女孩。区分dbd患儿与对照组的特征，特别是ODD + CD与ODD的特征，对理解和治疗CD和ODD都有意义。
This study compares 6–11-year-old, clinically referred boys and girls diagnosed with Oppositional Defiant Disorder, either with (ODD + CD, n = 40) or without Conduct Disorder (ODD only; n = 136), to a matched sample of healthy control children (HC; n = 69). Multiple informants completed intake diagnostic interviews and self-reports to evaluate constructs examining the child’s functioning and contextual influences on functioning (e.g., parent, family, peer, community). ODD + CD and ODD only children were each distinguished from HCs by greater exposure to delinquent peers and lowered parental self-efficacy. In further comparisons to the HC group, ODD only status was associated with parental use of psychological aggression and more stressful life events, whereas ODD + CD status was associated with greater parental hostility. Relative to ODD alone status, ODD + CD status was comparable on all but one variable (greater parental hostility). Similar findings were reported using a subset of girls only. The characteristics that distinguish children with DBDs from controls and, in particular, ODD + CD from ODD only, bear implications for understanding and treating both CD and ODD.
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