An affective dimension within oppositional defiant disorder symptoms among boys: personality and psychopathology outcomes into early adulthood
An affective dimension within oppositional defiant disorder symptoms among boys: personality and psychopathology outcomes into early adulthood
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DOI：
10.1111/j.1469-7610.2012.02598.x
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发表时间：
2012-11-01
影响因子：
7.6
通讯作者：
Burke, Jeffrey D.
中科院分区：
文献类型：
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作者：
Burke, Jeffrey D.
背景：对立违抗障碍 (ODD) 症状中的消极情感维度（被描述为易怒）已被证明可以预测抑郁和焦虑。相关结构已与气质和个性结构联系起来。然而，只有少数研究检验了 ODD 中的烦躁对精神病理学或人格结果的预测。此外，还没有研究调查不同阶层的青少年之间的易怒程度是否存在差异。方法：使用了 712 岁男孩随访至 18 岁的临床转介样本的数据。测量方法包括在青春期期间与父母进行结构化临床访谈，以及青少年在 18 岁时对抑郁和人格领域的自我报告。结果：面向变量的分析发现，烦躁与抑郁、焦虑和神经质的结果之间存在预测联系。青少年的潜在类别通过是否存在烦躁症状来区分。基线时按烦躁症状分类的青少年在青春期表现出焦虑和抑郁的可能性明显更大，在 18 岁时表现出抑郁和神经质。没有观察到其他五大人格因素之间的关系。结论：ODD 中的烦躁症状使青少年有可能在成年后面临持续的内化障碍和神经质问题。研究结果暗示了一种模型，其中早期出现的烦躁标志着特定类型的精神病理学和人格问题的生命历程风险。
Background: A dimension of negatively oriented affect within oppositional defiant disorder (ODD) symptoms, which has been described as irritability, has been shown to predict depression and anxiety. Related constructs have been linked to temperament and personality constructs. However, only a few studies have examined the prediction from irritability within ODD to psychopathology or personality outcomes. Further, no studies have investigated whether irritability distinguishes among classes of youth. Methods: Data from a clinic-referred sample of 712-year-old boys followed up to age 18 were used. Measures included structured clinical interviews with parents through adolescence, and youth self-report of depression and personality domains at age 18. Results: Variable-oriented analyses found predictive links between irritability and outcomes of depression, anxiety, and Neuroticism. Latent classes of youth were distinguished by the presence or absence of irritability symptoms. Youth classified by irritability symptoms at baseline were significantly more likely to show anxiety and depression through adolescence and depression and Neuroticism at 18. No relationship was observed for the other of the Big Five personality factors. Conclusion: Irritability symptoms within ODD distinguish youth at risk for persisting problems with internalizing disorders and Neuroticism into adulthood. The findings are suggestive of a model in which the early emergence of irritability marks life-course risks for specific types of psychopathology and personality problems.