Childhood antecedents of adolescent personality disorders.
Childhood antecedents of adolescent personality disorders.
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青少年人格障碍的童年前因。
DOI：
10.1176/ajp.153.7.907
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Brook,JS
中科院分区：
文献类型：
--
作者：
Bernstein,DP;Cohen,P;Skodol,A;Bezirganian,S;Brook,JS
目的探讨青少年人格障碍的儿童前因。方法随机抽取社区样本641名青少年，在儿童期进行初步评估，随访10年以上。儿童行为评分基于母亲报告；青少年人格障碍的诊断是基于从母亲和青少年举报人获得的数据。采用了四种儿童行为问题的综合测量方法：行为问题、抑郁症状、焦虑/恐惧和不成熟。只有当青少年人格障碍持续超过2年的时候才被认为存在。对于所有的分析，人格障碍被分为DSM-III-R的三个类（A， B和C）。结果logistic回归分析表明，所有四种假定的童年前因都与10年后青少年人格障碍的可能性较大有关。童年时期的行为问题仍然是所有三组人格障碍的独立预测因子，即使其他童年时期的问题也包括在同一个回归模型中。此外，抑郁症状是男孩A类人格障碍的独立预测因子，而不成熟是女孩B类人格障碍的独立预测因子。没有发现儿童评估时年龄的调节作用。结论这些结果支持了人格障碍可以追溯到童年时期的情绪和行为障碍的观点，并表明这些问题与青少年人格功能既有一般的关系，也有特殊的关系。
ObjectiveThe purpose of this study was to investigate the childhood antecedents of personality disorders that are diagnosed in adolescence.MethodA randomly selected community sample of 641 youths was assessed initially in childhood and followed longitudinally over 10 years. Childhood behavior ratings were based on maternal report; diagnoses of adolescent personality disorders were based on data obtained from both maternal and youth informants. Four composite measures of childhood behavior problems were used: conduct problems, depressive symptoms, anxiety/fear, and immaturity. Adolescent personality disorders were considered present only if the disorders persisted over a 2-year period. For all analyses, personality disorders were grouped into the three clusters (A, B, and C) of DSM-III-R.ResultsLogistic regression analyses indicated that all four of the putative childhood antecedents were associated with greater odds of an adolescent personality disorder 10 years later. Childhood conduct problems remained an independent predictor of personality disorders in all three clusters, even when other childhood problems were included in the same regression model. Additionally, depressive symptoms emerged as an independent predictor of cluster A personality disorders in boys, while immaturity was an independent predictor of cluster B personality disorders in girls. No moderating effects of age at time of childhood assessment were found.ConclusionsThese results support the view that personality disorders can be traced to childhood emotional and behavioral disturbances and suggest that these problems have both general and specific relationships to adolescent personality functioning.