OPPOSITIONAL DEFIANT DISORDER AND CONDUCT DISORDER - A META-ANALYTIC REVIEW OF FACTOR-ANALYSES AND CROSS-VALIDATION IN A CLINIC SAMPLE
OPPOSITIONAL DEFIANT DISORDER AND CONDUCT DISORDER - A META-ANALYTIC REVIEW OF FACTOR-ANALYSES AND CROSS-VALIDATION IN A CLINIC SAMPLE
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DOI：
10.1016/0272-7358(93)90016-f
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发表时间：
1993-01-01
影响因子：
12.8
通讯作者：
HANSON, K
中科院分区：
文献类型：
--
作者：
FRICK, PJ;LAHEY, BB;HANSON, K
这项研究是对44项已发表的研究中28，401名儿童和青少年的60项因素分析的荟萃分析总结。结果表明，严格从行为协变的角度来看，儿童的行为问题最好用行为的两个正交维度来概念化：（1）显/隐维度和（2）破坏性/非破坏性维度。由这两个两极维度的交叉所产生的四个象限，与法律的体系和先前的诊断概念化所产生的违反规范的行为之间的区别很好地对应：对立的、攻击性的、侵犯财产的和身份罪。该荟萃分析的结果在177名7-12岁男孩的临床样本中进行了交叉验证。来自验证样本的一个主要发现是基于元分析和精神障碍诊断和统计手册（第3版，美国精神病学协会，1987年）（DSM-III-R）行为障碍和对立违抗性障碍的定义。验证研究的第二个主要发现是，发病年龄可能是解释荟萃分析结果的关键变量。
This study is a meta-analytic summary of 60 factor analyses from 44 published studies of 28,401 children and adolescents. The results suggested that, strictly in terms of behavioral covariation, conduct problems in children may best be conceptualized in terms of two orthogonal dimensions of behavior: (1) an overt/covert dimension and (2) a destructive/nondestructive dimension. The four quadrants created by the intersection of these two bipolar dimensions corresponded well to distinctions among norm-violating behaviors made by legal systems and previous diagnostic conceptualizations: oppositional, aggressive, property violations, and status offenses. The results of this meta-analysis were cross-validated in a clinic sample of 177 boys age 7-12. One major finding from the validation sample was a strong correspondence between empirically derived syndromes based on the meta-analysis and the Diagnostic and Statistical Manual of Mental Disorders (3rd ed. rev., American Psychiatric Association, 1987) (DSM-III-R) definitions of conduct disorder and oppositional defiant disorder. A second major finding from the validation study was that age of onset may be a critical variable in explaining the results of the meta-analysis.