ADDH and conduct disorder: degree of diagnostic overlap and differences among correlates.
ADDH and conduct disorder: degree of diagnostic overlap and differences among correlates.
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ADDH 和品行障碍：诊断重叠程度和相关因素之间的差异。
DOI：
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发表时间：
1989
影响因子：
13.3
通讯作者：
D. Offord
中科院分区：
文献类型：
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作者：
Peter Szatmari;MICHAEL H. Boyle;D. Offord
本文的目的是确定注意缺陷障碍伴多动（ADDH）和品行障碍（CD）之间的诊断重叠程度，并观察ADDH儿童与CD儿童相比是否表现出不同的人口统计学、家庭和发育相关性模式。这项研究的样本包括2,697名4至16岁的儿童，他们参加了安大略儿童健康研究。在诊断重叠方面，ADDH和CD一起发生的情况比单独发生的情况更常见，特别是在女孩中。纯组ADDH和CD儿童在许多方面存在差异。总的来说，ADDH儿童比CD儿童更年轻，经历了更多的发育迟缓和更少的心理社会劣势。在相关损害（衡量严重程度）方面没有发现差异。同时患有ADDH和CD的儿童（混合组）似乎代表了一种真正的混合疾病，而不是一种诊断或另一种。这些研究结果支持ADDH的有效性相比，CD，至少在相关模式方面。
The objective of this paper was to determine the degree of diagnostic overlap between attention deficit disorder with hyperactivity (ADDH) and conduct disorder (CD) and to see whether ADDH children show a different pattern of demographic, familial, and developmental correlates compared to CD children. The sample for this study consisted of 2,697 4- to 16-year-olds who participated in the Ontario Child Health Study. In terms of diagnostic overlap, ADDH and CD occurred together more often than by chance alone, particularly among girls. Pure groups of ADDH and CD children differed in a variety of ways. In general, ADDH children were younger and had experienced more developmental delays and less psychosocial disadvantage than the CD children. No differences were found with respect to associated impairments, a measure of severity. Children with both ADDH and CD (a mixed group) appeared to represent a true hybrid disorder rather than one diagnosis or the other. These findings support the validity of ADDH compared to CD, at least in terms of the pattern of correlates.