Confirmation that Child Behavior Checklist clinical scales discriminate juvenile mania from attention deficit hyperactivity disorder

Confirmation that Child Behavior Checklist clinical scales discriminate juvenile mania from attention deficit hyperactivity disorder
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DOI:
10.1046/j.1440-1754.1999.t01-1-00347.x
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发表时间:
1999-04-01
影响因子:
1.7
通讯作者:
Carr, VJ
Carr, VJ
中科院分区:
医学4区
文献类型:
--
作者:
Hazell, PL;Lewin, TJ;Carr, VJ

文献摘要

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目的:确定符合青少年躁狂症和注意缺陷多动障碍(躁狂-ADHD)诊断标准的男孩是否可以在一系列临床和家庭变量上与单独患有ADHD的男孩区分开来。方法:对9-13岁患有躁狂症多动症的男孩(n = 25)、单独患有多动症的男孩(n = 99)和没有精神诊断的男孩(n = 27)进行比较,包括父母和老师报告的儿童行为检查表(CBCL)和康纳斯问卷、自我报告的CBCL、共病模式、智力功能和家庭变量。结果:在父母的CBCL量表上,狂躁多动症受试者在孤僻、思想问题、不良行为和攻击行为量表上的平均评分显著高于单纯多动症受试者,同时伴有抑郁、焦虑和精神病症状的比例显著高于单纯多动症受试者。其他变量没有区分狂躁多动症组和单纯多动症组。结论:这些数据证实了先前的研究,表明CBCL可用于协助躁狂儿童的临床鉴定。
Objective: To determine whether boys meeting diagnostic criteria for juvenile mania and attention deficit hyperactivity disorder (mania-ADHD) may be distinguished from boys with ADHD alone on a range of clinical and family variables.Methodology: Boys aged 9-13 years with mania-ADHD (n = 25), ADHD alone (n = 99), or no psychiatric diagnosis (n = 27) were compared on parent and teacher report Child Behavior Checklists (CBCL) and Conners Questionnaires, self-report CBCLs, patterns of comorbidity, intellectual functioning, and family variables.Results: Mania-ADHD subjects had significantly higher mean ratings than ADHD only subjects on the parent CBCL for the Withdrawn, Thought Problems, Delinquent Behavior and Aggressive Behavior scales and significantly higher rates of comorbid depression, anxiety and psychotic symptoms. Other Variables did not distinguish the mania-ADHD and ADHD only groups.Conclusions: These data confirm previous research indicating that the CBCL may be used to assist in the clinical identification of manic children.