The effects of including a callous-unemotional specifier for the diagnosis of conduct disorder
The effects of including a callous-unemotional specifier for the diagnosis of conduct disorder
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DOI：
10.1111/j.1469-7610.2011.02463.x
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发表时间：
2012-03-01
影响因子：
7.6
通讯作者：
Youngstrom, Jennifer Kogos
中科院分区：
文献类型：
--
作者：
Kahn, Rachel E.;Frick, Paul J.;Youngstrom, Jennifer Kogos
背景资料：在即将修订的《精神障碍诊断与统计手册》（DSM-V）中，“具有显著冷酷无情特质”被提议作为品行障碍（CD）的一个分类。应考虑此说明符对诊断为CD的儿童的影响。研究方法：一个多站点的横断面设计，志愿者（n = 1136）在第三个七年级和566个连续转介（5-18岁）到社区精神卫生中心被用来估计CD的患病率与建议的说明。此外，情绪和行为（特别是身体攻击）的程度和损害的水平，在青年与无CD和有和没有指定进行了评估。结果如下：在社区样本中，10%-32%的CD患者和2%-7%的非CD患者达到了冷酷无情（CU）的指定阈值。在临床参考样本中，21%-50%的CD患者和14%-32%的非CD患者符合CU指定阈值，具体取决于举报人。在两个样本中，那些患有CD和指定符的人表现出更高的攻击性，在临床参考样本中表现出更高的残忍性。结论：结果表明，10%至50%的青年CD将指定与建议的CU说明。那些患有CD和指定符的人在一些指数上似乎更严重，包括侵略性和残忍性。
Background: With Significant CallousUnemotional Traits has been proposed as a specifier for conduct disorder (CD) in the upcoming revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). The impact of this specifier on children diagnosed with CD should be considered. Methods: A multi-site cross-sectional design with volunteers (n = 1136) in the third-seventh grades and 566 consecutive referrals (ages 5-18) to a community mental health center were used to estimate the prevalence rates of CD with and without the proposed specifier. In addition, the degree of emotional and behavioral (especially physical aggression) disturbance and level of impairment in youth with and without CD and with and without the specifier was evaluated. Results: In the community sample, 10%-32% of those with CD and 2%-7% of those without CD met the callous-unemotional (CU) specifier threshold depending on informant. In the clinic-referred sample, 21%-50% of those with CD and 14%-32% without CD met the CU specifier threshold depending on informant. Those with CD and the specifier showed higher rates of aggression in both samples and higher rates of cruelty in the clinicreferred sample. Conclusions: Results indicate between 10% and 50% of youth with CD would be designated with the proposed CU specifier. Those with CD and the specifier appear to be more severe on a number of indices, including aggression and cruelty.