Callous-unemotional traits are associated with clinical severity in referred boys with conduct problems
Callous-unemotional traits are associated with clinical severity in referred boys with conduct problems
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DOI：
10.1080/08039480500360690
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发表时间：
2005-12-01
影响因子：
1.8
通讯作者：
Långström, N
中科院分区：
文献类型：
--
作者：
Enebrink, P;Andershed, H;Långström, N
存在行为问题的异质儿童群体的临床实践可能会受益于诊断亚型的改进格式。我们调查了高水平的冷酷无情特征（即缺乏同理心、无情和肤浅的情感）是否可以将临床转介的行为问题男孩与这些特征低的男孩区分开来。研究人员利用从护理人员处获得的数据，对转诊至瑞典公立儿童精神病院的 41 名有行为问题的男孩（6-13 岁，平均年龄 = 9.60 岁）连续进行了一系列研究。与缺乏这些特征的男孩相比，具有许多冷酷无情特征的行为问题男孩的普遍性、多样性和攻击性破坏性行为问题明显更为普遍。具有冷酷无情特征的受试者中较高水平的行为问题不能用 DSM-IV 注意力缺陷多动障碍和对立违抗障碍/行为障碍症状的混杂存在来解释。具有冷酷无情特征的男孩也经历过更贫穷的家庭环境，并且生活在压力很大的家庭中。有趣的是，他们在学校很少得到特殊老师的帮助，但比冷酷无情的男孩更容易被诊断出患有心境恶劣。我们得出的结论是，冷酷无情的特征可能指的是一群男孩，他们的行为问题有不同的病因，并且可能有特定的治疗需求。然而，这些发现需要用更大的样本来重复。
Clinical practice with the heterogeneous group of children that present with conduct problems may benefit from improved formats for diagnostic subtyping. We investigated whether high levels of callous-unemotional traits (i.e. lack of empathy, remorselessness and shallow affects) would differentiate clinic-referred conduct-problem boys from those low on such traits. A consecutive series of 41 boys with conduct problems (6-13 years, mean age = 9.60 years) referred to public child psychiatric units in Sweden were studied with data elicited from caregivers. Conduct-problem boys with many callous-unemotional traits had significantly more pervasive, varied and aggressive disruptive behavioural problems than boys low on these traits had. Higher levels of conduct problems in subjects with callous-unemotional traits were not explained by confounding presence of DSM-IV attention-deficit hyperactivity disorder and oppositional defiant disorder/conduct disorder symptoms. Boys with callous-unemotional traits also experienced poorer household circumstances and lived in families under high stress. Interestingly, they less often received help in school from special teachers but were more often diagnosed with dysthymia than boys low on callous-unemotional traits. We conclude that callous-unemotional traits might designate a subgroup of boys with different aetiology to their conduct problems and possibly with specific treatment needs. However, the findings need to be replicated with larger samples.