Characteristics of aggression in clinically referred children
Characteristics of aggression in clinically referred children
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DOI：
10.1017/s1092852900019702
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发表时间：
2005-09-01
期刊：
影响因子：
3.3
通讯作者：
Connor, DF
中科院分区：
文献类型：
--
作者：
Bambauer, KZ;Connor, DF
目的：我们调查了一组精神病转诊儿童和对照组儿童的攻击行为现象。简介：儿童 (N=275) 在学术医疗中心的儿科精神药理学诊所进行了评估，并与来自社区的 100 名非转诊儿童进行了比较。为了评估几个预测因素对儿童临床障碍水平的影响，我们进行了逐步回归分析。结果：在精神病学转诊的儿童中，许多不同的精神病学诊断都发生了攻击行为。与对照儿童相比，被转介儿童的攻击行为更频繁、更激烈、每次发作持续时间更长、对干预的抵抗力更强，并且发生的年龄更早。控制精神病学诊断和人口统计学变量、家庭收入和过去 6 个月内攻击行为的次数是儿童障碍的唯一显着预测因素。讨论：从现象学角度来看，与未转介的青少年相比，患有精神疾病的儿童的攻击行为可能更难以适应。这些攻击行为特征的现象学差异支持了精神病学转诊儿童中攻击性综合征的概念。结论：结果支持需要针对转诊儿童和青少年的过度适应不良攻击行为制定具体的治疗干预措施，而与精神病学诊断无关。
Objective: We investigated the phenomenology of aggression in a group of Psychiatrically referred children and in a comparison group of children.Introduction: Children (N=275) were evaluated at a pediatric psychopharmacology clinic in an academic medical center and compared with 100 non-referred children from the community. To assess the influence of several predictors on the child's level of clinical impairment we conducted stepwise regression analyses..Results: Aggression occurred across many different psychiatric diagnoses in psychiatrically referred children. Aggression in referred children was more frequent, physical, intense, lasted for a longer duration per episode, was more resistant to intervention, and occurred at an earlier age of onset in contrast with comparison children. Controlling for psychiatric diagnosis and demographic variables, family income and number of aggressive episodes in the last 6 months were the only significant predictors of child impairment.Discussion: Phenomenologically, aggression may be more maladaptive in children with a psychiatric disorder compared with non-referred youths. These phenomenological differences in characteristics of aggression support the concept of an aggressive syndrome in psychiatrically referred children.Conclusion: Results support the need for development of specific treatment interventions for excessive maladaptive aggression independent of psychiatric diagnosis in referred children and adolescents.