WHICH BOYS WILL FARE WORSE - EARLY PREDICTORS OF THE ONSET OF CONDUCT DISORDER IN A 6-YEAR LONGITUDINAL-STUDY
WHICH BOYS WILL FARE WORSE - EARLY PREDICTORS OF THE ONSET OF CONDUCT DISORDER IN A 6-YEAR LONGITUDINAL-STUDY
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DOI：
10.1097/00004583-199504000-00017
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发表时间：
1995-04-01
影响因子：
13.3
通讯作者：
LAHEY, BB
中科院分区：
文献类型：
--
作者：
LOEBER, R;GREEN, SM;LAHEY, BB
目的：这篇文章解决了以下问题：什么是最好的人口统计学和精神病学的预测发病的品行障碍（CD）？肢体冲突是否在对立违抗性障碍（ODD）向CD的转变中起作用？什么是CD发病较早的预测因素？方法：数据的后续临床参考样本或177个青春期前的男孩谁进行了为期6年的研究。精神病学评估是基于来自男孩，他们的父母和他们的老师的信息。结果：在双变量分析中，所有CD症状中，肢体打斗最能预测CD的发病。Logistic回归分析显示，父母社会经济地位低、ODD和父母物质滥用是CD发病的最佳预测因素。此外，注意力缺陷多动障碍（ADHD）预示着CD的早期发病。结论：父母滥用药物、社会经济地位低下和对立行为是男孩发展为CD的关键因素。肢体打斗虽然不是ODD的症状，但应与ODD症状一起沿着进行预防干预。ADHD与早发性CD有关，但与晚发性CD无关。
Objective: This article addresses the following questions: What are the best demographic and psychiatric predictors of the onset of conduct disorder (CD)? Does physical fighting play a role in the transition from oppositional defiant disorder (ODD) to CD? And what are the predictors of an earlier compared with a rater onset of CD? Method: Data are presented on the follow-up of a clinic-referred sample or 177 preadolescent boys who were studied for a period of 6 years. Psychiatric assessments were based on information from the boys, their parent, and their teacher. Results: Or all CD symptoms, physical fighting best predicted the onset of CD in bivariate analyses. Logistic regression showed that low socioeconomic status of the parent, ODD, and parental substance abuse best predicted the onset of CD. In addition, attention-deficit hyperactivity disorder (ADHD) predicted an early onset of CD. Conclusions: Parental substance abuse, low socioeconomic status, and oppositional behavior are key factors in boys' progression to CD. Physical fighting, although not a symptom of ODD, should be targeted in preventive interventions along with ODD symptoms. ADHD is implicated in the early onset of CD, but not in later-onset CD.