Validity of DSM-IV conduct disorder in 4 1/2 5-year-old children:: A longitudinal epidemiological study
Validity of DSM-IV conduct disorder in 4 1/2 5-year-old children:: A longitudinal epidemiological study
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DOI：
10.1176/appi.ajp.162.6.1108
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发表时间：
2005-06-01
影响因子：
17.7
通讯作者：
Moffitt, TE
中科院分区：
文献类型：
--
作者：
Kim-Cohen, J;Arseneault, L;Moffitt, TE
目的：这项纵向研究的非参考，人口为基础的样本测试的同时，收敛，和预测效度的DSM-IV行为障碍的儿童4-5岁。方法：在环境风险纵向双胞胎研究中，一个有代表性的2,232名儿童的出生队列，这些儿童的母亲接受了访谈，而教师则填写了邮寄的问卷，以评估这些儿童过去六个月的品行障碍症状。结果：行为障碍和中重度行为障碍的患病率分别为6.6%和2.5%。被诊断为行为障碍的儿童比对照组更有可能自我报告反社会行为，在观察评估期间表现出破坏性行为，并具有已知与年龄较大儿童行为障碍相关的风险因素（效应大小范围为0.26至1.24）。被诊断为品行障碍的5岁奥尔兹在7岁时比对照组更有可能出现行为和教育困难。在智商和注意缺陷多动障碍5岁诊断得到控制后，7岁时学习困难的风险仍然增加。结论：符合品行障碍诊断标准的学龄前儿童的行为问题不容忽视。应提供适当的干预，以防止持续的行为和学术问题。
Objective: This longitudinal study of a nonreferred, population-based sample tested the concurrent, convergent, and predictive validity of DSM-IV conduct disorder in children 4-5 years of age.Method: In the Environmental Risk Longitudinal Twin Study, a representative birth cohort of 2,232 children, the children's mothers were interviewed and the teachers completed mailed questionnaires to assess the children's past 6-month conduct disorder symptoms. Children with three or more symptoms were diagnosed with conduct disorder, and a subset with five or more symptoms was diagnosed with "moderate-to-severe" conduct disorder.Results: The prevalence of conduct disorder and moderate-to-severe conduct disorder were 6.6% and 2.5%, respectively. Children diagnosed with conduct disorder were significantly more likely than comparison subjects to self-report antisocial behaviors, to behave disruptively during observational assessment, and to have risk factors known to be associated with conduct disorder in older children (effect sizes ranging from 0.26 to 1.24). Five-year-olds diagnosed with conduct disorder were significantly more likely than comparison subjects to have behavioral and educational difficulties at age 7. Increased risk for educational difficulties at age 7 persisted after control for IQ and attention deficit hyperactivity disorder diagnosis at age 5.Conclusions: Behavioral problems of preschool-age children meeting diagnostic criteria for conduct disorder should not be ignored. Appropriate intervention should be provided to prevent ongoing behavioral and academic problems.