Utility of TOCA-R scores during the elementary school years in identifying later violence among adolescent males.
Utility of TOCA-R scores during the elementary school years in identifying later violence among adolescent males.
复制标题
小学时期 TOCA-R 分数在识别青春期男性后来的暴力行为方面的效用。
DOI：
10.1097/00004583-200401000-00018
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Kellam,SheppardG
中科院分区：
文献类型：
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作者：
Petras,Hanno;Chilcoat,HowardD;Leaf,PhilipJ;Ialongo,NicholasS;Kellam,SheppardG
为了评估教师评定工具（TOCA-R）的实用性的攻击行为在小学期间在确定男孩在以后的violence.METHODA社区流行病学样本的415公立学校的男孩在小学期间的攻击/破坏性行为的水平，在6个时间点进行了评估。暴力行为是通过青少年警察和法庭记录来衡量的。这种关系在三年级达到顶峰，在那里，更具攻击性的男孩比不那么具有攻击性的男孩在以后实施暴力行为的可能性高出一倍。在确定高危男孩方面，比较了三种干预方案。在最大限度地减少误报的情况下，最佳测试是在一年级的秋天，83%的高风险男孩和22%的低风险男孩后来有暴力逮捕记录。为了最大限度地减少假阴性，在四年级的春季发现了最佳测试（30%的高风险男孩对0%的低风险男孩）。专注于假阳性和假阴性，最佳的测试被发现在春季的三年级（52%的高风险的男孩与14%的低风险的男孩）。CONCLUSIONSEearly水平的攻击性行为是强大的和强大的预测后来的暴力，但在早期识别的男孩在风险中的效用有限。因此，在普遍干预措施之后，再根据多阶段评估选定/指明的干预措施有望在预防青年暴力方面发挥最大效用。未来的研究需要确定其他可以加强攻击行为筛查实用性的指标。
OBJECTIVETo evaluate the utility of a teacher-rating instrument (TOCA-R) of aggressive behavior during elementary school years in identifying boys at risk for later violence.METHODA community epidemiological sample of 415 public school boys was rated at six time points during elementary school regarding their level of aggressive/disruptive behavior. Violence was measured using juvenile police and court records.RESULTSThe risk for later violence varied as a function of the boys’ level of aggressive behavior. This relationship peaked in third grade, where more aggressive boys compared to less aggressive boys were twice as likely to commit later violent acts. In respect to identifying at-risk boys, three intervention scenarios were compared. When minimizing false positives, the optimal test was found in the fall of first grade, with 83% of the high-risk compared to 22% of the low-risk boys later having a violent arrest record. When minimizing false negatives, the optimal test was found in the spring of fourth grade (30% of the high-risk boys versus 0% of the low-risk boys). Focusing on both false positives and false negatives, the optimal test was found in the spring of third grade (52% of the high-risk boys versus 14% of the low-risk boys).CONCLUSIONSEarly levels of aggressive behavior are strong and robust predictors of later violence but are of limited utility in the early identification of boys at risk. Consequently, universal interventions followed by selected/indicated interventions based on a multistage assessment promise the highest utility in preventing youth violence. Future research is needed to identify other indicators that can strengthen the screening utility of aggressive behavior.