A dimensional approach to developmental psychopathology
A dimensional approach to developmental psychopathology
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DOI：
10.1002/mpr.217
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发表时间：
2007-06-01
影响因子：
3.1
通讯作者：
Pine, Daniel S.
中科院分区：
文献类型：
--
作者：
Hudziak, James J.;Achenbach, Thomas M.;Pine, Daniel S.
一般的精神病理学，特别是儿童精神病理学的表达，受到多种变异来源的影响。其中一些来源包括性别差异、信息提供者差异和年龄相关差异。在本文中，我们讨论这些差异的来源如何使研究和临床管理复杂化。我们认为，目前的诊断系统将有助于纳入一个量化轴，可以考虑这些方差的来源。我们认为，基因组学和神经科学领域已经准备好推动发展精神病理学领域的发展，但需要一个允许这些差异来源得到控制的诊断系统。我们展示了在品行障碍中，包含维度信息如何使临床医生或研究人员不仅能够证明病理的存在或不存在，而且还可以证明特定个体表现出的障碍程度。由于维度方法已经被广泛用作精神病理学的另一种测量方法，我们认为有理由考虑将DSM的某些方面维度化。版权所有(c) 2007约翰威利父子有限公司
The expression psychopathology in general and child psychopathology in particular, is affected by multiple sources of variance. Some of these sources include gender differences, informant differences, and age-related differences. In this paper, we discuss how these sources of variance complicate both research and clinical management. We argue that the current diagnostic system would be aided by the inclusion of a quantitative axis that can take these sources of variance into account. We reason that the fields of genomics and neuroscience are prepared to move the field of developmental psychopathology forward, but need a diagnostic system that allows for these sources of variance to be controlled. We demonstrate how in Conduct Disorder, inclusion of dimensional information would allow the clinician or researcher to demonstrate not only the presence or absence of pathology, but also the degree to which the disorder is manifested in a particular individual. Because dimensional approaches are already used widely as an alternative measure of psychopathology, we argue that there is reason to consider dimensionalizing some aspects of the DSM. Copyright (c) 2007 John Wiley & Sons, Ltd.