Developmental course of psychopathology in youths with and without intellectual disabilities
Developmental course of psychopathology in youths with and without intellectual disabilities
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DOI：
10.1111/j.1469-7610.2006.01712.x
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发表时间：
2007-05-01
影响因子：
7.6
通讯作者：
Koot, Hans M.
中科院分区：
文献类型：
--
作者：
de Ruiter, Karen P.;Dekker, Marielle C.;Koot, Hans M.
背景资料：我们的目的是描述与非智力残疾（ID）儿童之间的精神病理学的发展过程中的异同。研究方法：多水平生长曲线分析用于分析精神病理学的发展过程中，使用儿童行为检查表（CBCL），在两个纵向多出生队列样本的6至18岁的儿童ID（N = 978）和没有ID（N = 2,047），使用三个重复测量跨越6年的时间。结果如下：ID的儿童表现出更高水平的问题行为在所有年龄段的儿童相比，没有ID。一个显着的差异，在发展过程中的样本被发现的攻击性行为和注意力问题，ID的儿童表现出显着较大的下降。在两个样本中，精神病理学发展的性别差异相似，除了社会问题外，在社会问题中，ID男性的问题行为随着时间的推移比ID女性以及没有ID的男性和女性减少得更多。结果表明，与正常发育的儿童相比，ID儿童继续显示出更大的精神病理学风险，尽管这种更高的风险在18岁时比在6岁时对攻击性行为不那么明显。与我们的预期相反，精神病理学的发展过程中，ID儿童是非常相似的，从6岁到18岁的儿童相比，没有ID。规范的发展轨迹的精神病理学在ID儿童，这里提出的，可以作为一个衡量标准，对儿童精神病理学的发展可以被检测为偏差。
Background: We aimed to describe similarities and differences in the developmental course of psychopathology between children with and without intellectual disabilities (ID). Methods: Multilevel growth curve analysis was used to analyse the developmental course of psychopathology, using the Child Behavior Checklist (CBCL), in two longitudinal multiple-birth-cohort samples of 6- to 18-year-old children with ID (N = 978) and without ID (N = 2,047) using three repeated measurements across a 6-year period. Results: Children with ID showed a higher level of problem behaviours across all ages compared to children without ID. A significant difference between the samples in the developmental courses was found for Aggressive Behaviour and Attention Problems, where children with ID showed a significantly larger decrease. Gender differences in the development of psychopathology were similar in both samples, except for Social Problems where males with ID showed a larger decrease in problem behaviour across time than females with ID and males and females without ID. Conclusions: Results indicate that children with ID continue to show a greater risk for psychopathology compared to typically developing children, although this higher risk is less pronounced at age 18 than it is at age 6 for Aggressive Behaviour. Contrary to our expectations, the developmental course of psychopathology in children with ID was quite similar from age 6 to 18 compared to children without ID. The normative developmental trajectories of psychopathology in children with ID, presented here, can serve as a yardstick against which development of childhood psychopathology can be detected as deviant.