Are oppositional defiant and conduct disorder symptoms normative behaviors in preschoolers? A comparison of referred and nonreferred children
Are oppositional defiant and conduct disorder symptoms normative behaviors in preschoolers? A comparison of referred and nonreferred children
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DOI：
10.1176/appi.ajp.161.2.356
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发表时间：
2004-02-01
影响因子：
17.7
通讯作者：
Wakschlag, LS
中科院分区：
文献类型：
--
作者：
Keenan, K;Wakschlag, LS
目的：作者的目标是检验DSM-IV对立违抗性障碍和行为障碍的症状可以有效地应用于学龄前儿童的假设。方法：使用半结构化诊断访谈，他们评估了DSM-IV对立违抗性障碍和行为障碍的症状在2.5-5.5岁的儿童中的发生率，这些儿童被转诊到精神科诊所，对照组为未转诊的儿童。临床上提到的学龄前儿童有显着较高的比率对立违抗和行为障碍症状比nonreferenced儿童。在未转诊的学龄前儿童中，所有对立违抗和品行障碍症状的发生率均在8%或以下。结论：DSM-IV对立违抗和品行障碍症状区分转诊和未转诊的学龄前儿童的模式与年龄较大的儿童一致。不寻求心理健康服务的学龄前儿童没有很高的破坏性行为问题。DSM-IV疾病分类学似乎是一个有效的诊断系统，用于区分学龄前儿童的典型和非典型破坏性行为。
Objective: The authors' goal was to test the hypothesis that DSM-IV symptoms of oppositional defiant disorder and conduct disorder can be validly applied to preschoolers.Method: Using a semistructured diagnostic interview, they assessed rates of symptoms of DSM-IV oppositional defiant and conduct disorders in 2.5-5.5-year-old children who were referred to a psychiatry clinic and a comparison group of nonreferred children.Results: Clinically referred preschool children had significantly higher rates of oppositional defiant and conduct disorder symptoms than nonreferred children. Among nonreferred preschoolers, rates of all oppositional defiant and conduct disorder symptoms were at or below 8%.Conclusions: DSM-IV symptoms of oppositional defiant and conduct disorders distinguish referred from nonreferred preschool children in a pattern consistent with that seen in older children. Preschool children who are not seeking mental health services do not have high rates of disruptive behavior problems. The DSM-IV nosology appears to be a valid diagnostic system for discriminating between typical and atypical disruptive behaviors in preschool children.