Current issues in the diagnosis of attention deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder.

Current issues in the diagnosis of attention deficit hyperactivity disorder, oppositional defiant disorder, and conduct disorder.
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DOI:
10.1146/annurev-clinpsy-032511-143150
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发表时间:
2012
影响因子:
18.4
通讯作者:
Nigg JT
Nigg JT
中科院分区:
心理学1区
文献类型:
--
作者:
Frick PJ;Nigg JT

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本综述评估了三种最常见的儿童和青少年精神健康治疗障碍的诊断标准:注意缺陷多动障碍(ADHD),对立违抗性障碍(ODD)和行为障碍(CD)。虽然研究支持这些疾病的有效性和临床实用性,但突出了几个问题,可以提高目前的诊断标准。对于多动症,定义的核心功能的障碍和它的适合与其他疾病,提高有效性的标准,通过寿命,考虑替代的方式来形成亚型的障碍,并修改发病年龄的标准进行了讨论相对于目前的诊断标准。对于ODD,消除CD的排除标准,识别疾病中的重要症状域,并使用疾病的跨情境普遍性作为严重程度的指标,突出了改善分类的重要问题。最后,对于CD,增强与发病年龄相关的当前亚型并将冷酷无情的特征整合到诊断标准中被确定为改进分类的关键问题。
This review evaluates the diagnostic criteria for three of the most common disorders for which children and adolescents are referred for mental health treatment: attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and conduct disorder (CD). Although research supports the validity and clinical utility of these disorders, several issues are highlighted that could enhance the current diagnostic criteria. For ADHD, defining the core features of the disorder and its fit with other disorders, enhancing the validity of the criteria through the lifespan, considering alternative ways to form subtypes of the disorder, and modifying the age-of-onset criterion are discussed relative to the current diagnostic criteria. For ODD, eliminating the exclusionary criteria of CD, recognizing important symptom domains within the disorder, and using the cross-situational pervasiveness of the disorder as an index of severity are highlighted as important issues for improving classification. Finally, for CD, enhancing the current subtypes related to age of onset and integrating callous-unemotional traits into the diagnostic criteria are identified as key issues for improving classification.
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