Looking for the disorder in conduct disorder
Looking for the disorder in conduct disorder
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DOI：
10.1037//0021-843x.110.1.110
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发表时间：
2001-02-01
影响因子：
4.6
通讯作者：
Bickman, L
中科院分区：
文献类型：
--
作者：
Lambert, EW;Wahler, RG;Bickman, L
除了众所周知的外化行为外，行为障碍（CD）儿童通常还有CD诊断标准之外的其他障碍。在一项对984名接受治疗的儿童（年龄5-17岁）进行的5年研究中，CD患者平均有2.2个主要诊断。与11种常见诊断相比，CD儿童表现出最严重的问题和损伤评分。与其他接受治疗的儿童相比，CD儿童在15个综合征中的14个方面得分更差，包括内在化问题，如戒断和重度抑郁。CD患儿在入院治疗后1.5- 3年内的平均复发评分较高。这种模式，在摄入和慢性过程中普遍存在，更像是一个全球性的残疾，而不是一个有限的问题，用一个狭窄的治疗方法来管理。
Besides their well-known externalizing behavior, children with conduct disorder (CD) often have additional impairments outside the criteria for the CD diagnosis. In a 5-year study of 984 treated children (ages 5-17 years), those with CD had an average of 2.2 primary diagnoses. Children with CD showed the worst problem and impairment scores in comparison with 11 common diagnoses. Compared with other treated children, children with CD achieved worse scores on 14 of 15 syndromes, including internalizing problems such as withdrawal and major depression. The average child with CD had larger relapse scores in the 1.5- to 3-year period after admission to treatment. This pattern, pervasive at intake and chronic in course, resembles a global disability more than a circumscribed problem managed with a narrow range of treatments specific to it.