Personality differences in children and adolescents with attention-deficit/hyperactivity disorder, conduct disorder, and controls

Personality differences in children and adolescents with attention-deficit/hyperactivity disorder, conduct disorder, and controls
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DOI:
10.1111/j.1469-7610.2005.01461.x
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发表时间:
2006-02-01
影响因子:
7.6
通讯作者:
Iacono, WG
Iacono, WG
中科院分区:
医学1区
文献类型:
--
作者:
Cukrowicz, KC;Taylor, J;Iacono, WG

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工作背景:在个性特征的差异进行了检查的儿童谁在他们的共同发病率不同的外化障碍:注意力缺陷/多动障碍(ADHD)和行为障碍(CD)。研究方法:来自社区样本的11岁和17岁的男性和女性双胞胎被分类为ADHD,CD,共病CD-ADHD和对照组(无ADHD或CD),根据阈值和阈值下CD和ADHD诊断进行结构化访谈评估。多变量分析用于识别区分这四个诊断组的人格模式。据推测,显着差异将被发现在模式的个性变量之间的共病组的参与者,与其他三个组相比,这些差异将在整个发展时期。结果如下:正如预期的那样,共病组的人格模式比其他诊断组具有更高的负性和更低的约束性。这种模式在性别和年龄队列中得到证实。结论:极端的人格特征可能代表了ADHD和CD发生的倾向,而更极端的人格特征可能导致男孩和女孩发生这两种疾病。治疗计划和理论发展的影响进行了讨论。
Background: Differences in personality profiles were examined between children who differed in their co-morbidity of externalizing disorders: attention-deficit/hyperactivity disorder (ADHD) and conduct disorder (CD). Methods: 11- and 17-year-old male and female twins from a community sample were categorized as ADHD only, CD only, co-morbid CD-ADHD, and controls (no ADHD or CD) based on threshold and subthreshold CD and ADHD diagnoses assessed with structured interviews. Multivariate analyses were used to identify patterns of personality that differentiate these four diagnostic groups. It was hypothesized that significant differences would be found in the pattern of personality variables between participants in the co-morbid group, compared to the other three groups, and that these differences would hold across developmental periods. Results: As expected, the co-morbid group had a pattern of personality marked by higher Negative Emotionality and lower Constraint than the other diagnostic groups. This pattern was evidenced across gender and age cohort. Conclusions: An extreme personality profile may represent a liability toward the occurrence of ADHD and CD with more extreme profiles contributing to the occurrence of both disorders among boys and girls. Implications for treatment planning and theoretical development are discussed.