Psychiatric disorders in preschoolers: continuity from ages 3 to 6.
Psychiatric disorders in preschoolers: continuity from ages 3 to 6.
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DOI：
10.1176/appi.ajp.2012.12020268
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发表时间：
2012-11
期刊：
影响因子：
--
通讯作者：
Klein DN
中科院分区：
文献类型：
--
作者：
Bufferd SJ;Dougherty LR;Carlson GA;Rose S;Klein DN
最近的研究表明，许多学龄前儿童符合精神障碍的诊断标准。然而，关于这些诊断的连续性的数据是有限的，特别是来自对社区样本中广泛的疾病进行研究的数据。这些研究对于阐明幼儿精神病学诊断的有效性和临床意义是必要的。作者研究了从学龄前阶段(3岁)到学龄期开始(6岁)的大量学龄前儿童社区样本中特定精神障碍的连续性。有3岁孩子的合格家庭是通过商业邮寄名单从社区招募的。对于462名儿童，他们在基线时采访了孩子的主要照顾者，并在孩子6岁时再次进行了访谈，使用的是家长报告学龄前精神评估，这是一种全面的诊断性访谈。作者研究了从3岁到6岁的DSM-IV诊断的连续性。从3岁到6岁，疾病的三个月发病率相对稳定。在3岁时符合任何诊断标准的儿童，在6岁时达到诊断标准的可能性几乎是其他人的5倍。从3岁到6岁，焦虑、注意力缺陷多动障碍(ADHD)和对立违抗性障碍的同型连续性显著，抑郁与焦虑之间、焦虑与对立违抗障碍之间、ADHD与对立违抗障碍之间存在异质连续性。这些结果表明，学龄前精神障碍是适度稳定的，障碍的比率以及同型和异型连续性的模式与在年龄较大的儿童样本中观察到的相似。
Recent studies indicate that many preschoolers meet diagnostic criteria for psychiatric disorders. However, data on the continuity of these diagnoses are limited, particularly from studies examining a broad range of disorders in community samples. Such studies are necessary to elucidate the validity and clinical significance of psychiatric diagnoses in young children. The authors examined the continuity of specific psychiatric disorders in a large community sample of preschoolers from the preschool period (age 3) to the beginning of the school-age period (age 6). Eligible families with a 3-year child were recruited from the community through commercial mailing lists. For 462 children, the child’s primary caretaker was interviewed at baseline and again when the child was age 6, using the parent-report Preschool Age Psychiatric Assessment, a comprehensive diagnostic interview. The authors examined the continuity of DSM-IV diagnoses from ages 3 to 6. Three-month rates of disorders were relatively stable from age 3 to age 6. Children who met criteria for any diagnosis at age 3 were nearly five times as likely as the others to meet criteria for a diagnosis at age 6. There was significant homotypic continuity from age 3 to age 6 for anxiety, attention deficit hyperactivity disorder (ADHD), and oppositional defiant disorder, and heterotypic continuity between depression and anxiety, between anxiety and oppositional defiant disorder, and between ADHD and oppositional defiant disorder. These results indicate that preschool psychiatric disorders are moderately stable, with rates of disorders and patterns of homotypic and heterotypic continuity similar to those observed in samples of older children.
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影响因子：
4.8
作者：
Birmaher B;Ehmann M;Axelson DA;Goldstein BI;Monk K;Kalas C;Kupfer D;Gill MK;Leibenluft E;Bridge J;Guyer A;Egger HL;Brent DA
通讯作者：
Brent DA
影响因子：
--
作者：
Luby, Joan L.;Si, Xuemei;Belden, Andy C.;Tandon, Mini;Spitznagel, Ed
通讯作者：
Spitznagel, Ed
DOI：
10.1080/15374410902851382
发表时间：
2009-01-01
影响因子：
4.2
作者：
Lavigne, John V.;LeBailly, Susan A.;Binns, Helen J.
通讯作者：
Binns, Helen J.
影响因子：
1.1
作者：
Egger, HL;Kondo, D;Angold, A
通讯作者：
Angold, A
DOI：
10.1037/a0021026
发表时间：
2011-02
期刊：
The American psychologist
影响因子：
--
作者：
Egger HL;Emde RN
通讯作者：
Emde RN