Girls' hyperactivity and physical aggression during childhood and adjustment problems in early adulthood
Girls' hyperactivity and physical aggression during childhood and adjustment problems in early adulthood
复制标题
DOI：
10.1001/archgenpsychiatry.2007.41
复制
发表时间：
2008-03-01
影响因子：
--
通讯作者：
Tremblay, Richard E.
中科院分区：
文献类型：
--
作者：
Fontaine, Nathalie;Carbonneau, Rene;Tremblay, Richard E.
背景：儿童时期多动症和品行问题的同时发生似乎增加了男性成年早期适应问题的风险。然而，人们对女性这一话题知之甚少。 目的：描述女性童年时期多动和身体攻击性的联合发展轨迹，并研究多动和身体攻击性的高轨迹在多大程度上预测成年早期的适应问题。设计、背景和参与者：对来自基于人群的样本中的总共 881 名女性进行了研究。使用教师对 6 岁至 12 岁行为问题的评分来描述发展轨迹。主要结果指标：21 岁自我报告药物使用问题、犯罪行为、亲密关系中的攻击性、早孕、教育程度和福利援助。结果：在 6 岁至 12 岁之间，大多数女孩多动和身体攻击性的频率趋于减少。那些处于高度多动 (HH) 和高度身体攻击性 (HPA) 轨迹以及仅存在 HH 轨迹的人更有可能报告尼古丁使用问题（比值比 [OR], 2.16 [95% 置信区间 {CI}, 1.30-3.56] 和 OR, 2.23 [95% CI, 1.39-3.58]），亲密关系中的相互心理攻击（与对照组相比，OR, 2.28 [ 95% CI, 1.24-4.18] 和 OR, 2.14 [ 95% CI, 1.19-3.85]），教育程度较低（OR, 4.09 [ 95% CI, 2.33-7.18] 和 OR, 3.21 [ 95% CI, 1.84-5.59]）其他21岁的女性。只有 HH-HPA 女性在亲密关系、怀孕早期 (OR, 2.31 [ 95% CI, 1.17-4.56]) 和福利援助中更有可能报告身体攻击 ( OR, 2.48 [ 95% CI, 1.41-4.37]) 和心理攻击 ( OR, 2.54 [ 95% CI, 1.48-4.36]) ( OR, 2.68 [ 95% CI, 1.33-5.41]) 与其他女性相比。结论：多动程度较高的小学生应该成为强化预防计划的目标。这些干预措施应考虑 HPA 的存在或不存在。
Context: The co-occurrence of hyperactivity and conduct problems in childhood seems to increase the risk of early adulthood adjustment problems in males. However, little is known about this topic in females.Objectives: To describe the joint developmental trajectories of female hyperactivity and physical aggression during childhood and to examine the extent to which high trajectories of hyperactivity and physical aggression predict adjustment problems in early adulthood.Design, Setting, and Participants: A total of 881 females from a population-based sample were studied. Developmental trajectories were described using teachers' ratings of behavior problems from the age of 6 to 12 years.Main Outcome Measures: Age 21 years self-reports of substance use problems, criminal behaviors, aggression in intimate relationships, early pregnancy, educational attainment, and welfare assistance.Results: Between the ages of 6 and 12 years, the frequency of hyperactivity and physical aggression tended to decrease for most girls. Those on a trajectory of high hyperactivity ( HH) and high physical aggression ( HPA) and a trajectory of HH alone were significantly more likely to report nicotine use problems ( odds ratio [ OR], 2.16 [ 95% confidence interval {CI}, 1.30-3.56] and OR, 2.23 [ 95% CI, 1.39-3.58], respectively), mutual psychological aggression in intimate relationships ( OR, 2.28 [ 95% CI, 1.24-4.18] and OR, 2.14 [ 95% CI, 1.19-3.85], respectively), and low educational attainment ( OR, 4.09 [ 95% CI, 2.33-7.18] and OR, 3.21 [ 95% CI, 1.84-5.59], respectively) compared with the other females at the age of 21 years. Only the HH-HPA females were significantly more likely to report physical aggression ( OR, 2.48 [ 95% CI, 1.41-4.37]) and psychological aggression ( OR, 2.54 [ 95% CI, 1.48-4.36]) in intimate relationships, early pregnancy ( OR, 2.31 [ 95% CI, 1.17-4.56]), and welfare assistance ( OR, 2.68 [ 95% CI, 1.33-5.41]) compared with the other females.Conclusions: Elementary school girls with elevated levels of hyperactivity should be targeted for intensive prevention programs. These interventions should take into account the presence or absence of HPA.