Child and adolescent problems predict DSM-IV disorders in adulthood:: A 14-year follow-up of a Dutch epidemiological sample
Child and adolescent problems predict DSM-IV disorders in adulthood:: A 14-year follow-up of a Dutch epidemiological sample
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DOI：
10.1097/00004583-200202000-00012
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发表时间：
2002-02-01
影响因子：
13.3
通讯作者：
Verhulst, FC
中科院分区：
文献类型：
--
作者：
Hofstra, MB;van der Ende, J;Verhulst, FC
目的：很少有研究在未选择的样本中检验儿童和成人精神病理学之间的连续性。这项研究前瞻性地考察了 14 年期间儿童和青少年流行病学样本中的成人精神病理学结果。方法：1983 年，家长对荷兰普通人群中 1,578 名 4 至 16 岁儿童和青少年的行为和情绪问题进行了评分。 14 年后的随访中，受试者通过标准化 DSM-IV 访谈进行了重新评估。结果：高水平的儿童期问题预示着成年期 DSM-IV 诊断的风险会增加大约 2 至 6 倍。特定的儿童问题和成年诊断之间的关联是复杂的。女孩的社会问题预示着后来的 DSM-IV 障碍。男孩的违规行为预示着成年后的情绪障碍和破坏性障碍。结论：儿童时期高水平的行为和情绪问题与成年后 DSM-IV 的诊断有关，成年期疾病的最强预测因素是儿童时期的违规行为。当根据与其他儿童行为检查表量表的关联进行调整时，注意力问题并不能预测任何 DSM-IV 类别。
Objective: Few studies exist that examine continuities between child and adult psychopathology in unselected samples. This study prospectively examined the adult outcomes of psychopathology in an epidemiological sample of children and adolescents across a 14-year period. Method: In 1983, parent ratings of behavioral and emotional problems were obtained for 1,578 children and adolescents aged 4 through 16 years from the Dutch general population. At follow-up, 14 years later, subjects were reassessed with a standardized DSM-IV interview. Results: High levels of childhood problems predicted an approximate 2- to 6-fold increased risk for adulthood DSM-IV diagnoses. The associations between specific childhood problems and adulthood diagnoses were complex. Social Problems in girls predicted later DSM-IV disorder. Rule-breaking behavior in boys predicted both mood disorders and disruptive disorders in adulthood. Conclusions: High levels of childhood behavioral and emotional problems are related to DSM-IV diagnoses in adulthood, The strongest predictor of disorders in adulthood was childhood rule-breaking behavior. Attention Problems did not predict any of the DSM-IV categories when adjusted for the associations with other Child Behavior Checklist scales.