THE ADOLESCENT OUTCOME OF HYPERACTIVE-CHILDREN DIAGNOSED BY RESEARCH CRITERIA .1. AN 8-YEAR PROSPECTIVE FOLLOW-UP-STUDY
THE ADOLESCENT OUTCOME OF HYPERACTIVE-CHILDREN DIAGNOSED BY RESEARCH CRITERIA .1. AN 8-YEAR PROSPECTIVE FOLLOW-UP-STUDY
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DOI：
10.1097/00004583-199007000-00007
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发表时间：
1990-07-01
影响因子：
13.3
通讯作者：
SMALLISH, L
中科院分区：
文献类型：
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作者：
BARKLEY, RA;FISCHER, M;SMALLISH, L
精神病学的结果报告了一个大样本的多动儿童（N = 123），满足研究诊断标准，和正常对照儿童（N = 66），前瞻性地跟踪了8年的青春期。超过80%的多动者是注意缺陷多动障碍（ADHD），60%的多动者在结局时患有对立违抗性障碍和/或品行障碍。与正常人相比，过度活跃者的反社会行为率要高得多，吸烟和大麻的使用以及负面的学术成果也是如此。行为障碍的存在在很大程度上（尽管不是全部）解释了这些结果。随着时间的推移，多动症患者的家庭状况远不如正常人稳定。使用研究标准诊断儿童为多动症确定了一种行为症状模式，这种模式随着时间的推移非常稳定，并且与青春期家庭干扰和负面学术和社会结果的风险比以前报道的要大得多。
The psychiatric outcome is reported for a large sample of hyperactive children (N = 123), meeting research diagnostic criteria, and normal control children (N = 66) followed prospectively over an 8-year period into adolescence. Over 80% of the hyperactives were attention deficit hyperactivity disorder (ADHD) and 60% had either oppositional defiant disorder and/or conduct disorder at outcome. Rates of antisocial acts were considerably higher among hyperactives than normals, as were cigarette and marijuana use and negative academic outcomes. The presence of conduct disorder accounted for much though not all of these outcomes. Family status of hyperactives was much less stable over time than in the normal subjects. The use of research criteria for diagnosing children as hyperactive identifies a pattern of behavioral symptoms that is highly stable over time and associated with considerably greater risk for family disturbance and negative academic and social outcomes in adolescence than has been previously reported.