Psychiatric symptoms in preschool children with PDD and clinic and comparison samples
Psychiatric symptoms in preschool children with PDD and clinic and comparison samples
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DOI：
10.1023/b:jadd.0000037415.21458.93
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发表时间：
2004-08-01
影响因子：
3.9
通讯作者：
Azizian, A
中科院分区：
文献类型：
--
作者：
Gadow, KD;DeVincent, CJ;Azizian, A
目的：本研究描述并比较了诊断为广泛性发育障碍（PDD）的学龄前儿童、临床对照组和两个社区样本的DSM-IV症状的严重程度。（和教师）完成了早期儿童问卷-4（ECI-4），这是一个DSM-IV参考的四个样本的评定量表：PDD（n=172/160）和非PDD精神病诊所转诊（n=135/101），以及常规（n=507/407）和特殊（n=64/140）幼儿计划中的青少年。儿童的年龄范围从3至5岁old.Results：除行为问题，PDD组普遍收到较高的症状严重程度评级比常规的幼儿组，但与其他两组相比，差异的模式往往不同的症状和线人的类型。教师评定PDD和非PDD临床组具有同样严重的ADHD和对立违抗性障碍症状。教师认为PDD组比父母有更严重的焦虑和抑郁症状。两个被调查者都认为，比自闭症和PDDNOS亚组更对立。教师评价男性在定期幼儿样本有更严重的ADHD和侵略性症状比女性，但这是不是这样的PDD sample.Conclusion：学龄前儿童PDD表现出更严重的DSM-IV精神症状比儿童在定期和特殊的幼儿计划，并在一定程度上nonPDD精神转诊。合并症的概念值得进一步探讨，作为诊断结构的验证者，特定的综合征也是如此。
Objective: This study describes and compares the severity of DSM-IV symptoms in preschool children with diagnosed pervasive developmental disorder (PDD), clinic controls, and two community-based samples.Method: Parents (/and teachers) completed the early child inventory-4 (ECI-4), a DSM-IV-referenced rating scale for four samples: PDD (n=172/160) and nonPDD psychiatric clinic referrals (n=135/101) and youngsters in regular (n=507/407) and special (n=64/140) early childhood programs. Children ranged in age from 3 to 5 years old.Results: With the exception of conduct problems, the PDD group generally received higher symptom severity ratings than the regular early childhood group, but the pattern of differences compared with the other two groups often varied by type of symptom and informant. Teachers rated the PDD and nonPDD clinic groups as having equally severe ADHD and oppositional defiant disorder symptoms. Teachers rated the PDD group as having more severe anxiety and depression symptoms than parents. The Asperger group was rated by both informants as more oppositional than the autism and PDDNOS subgroups. Teachers rated males in the regular early childhood sample as having more severe ADHD and aggressive symptoms than females, but this was not the case for the PDD sample.Conclusion: Preschoolers with PDD exhibit more severe DSM-IV psychiatric symptoms than children in regular and special early childhood programs, and to some extent nonPDD psychiatric referrals. The concept of comorbidity warrants further exploration, as does informant-specific syndromes as validators of diagnostic constructs.