Social impairment in Hyperkinetic Disorder - Relationship to psychopathology and environmental stressors
Social impairment in Hyperkinetic Disorder - Relationship to psychopathology and environmental stressors
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DOI：
10.1007/s00787-004-0372-4
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发表时间：
2004-06-01
影响因子：
6.4
通讯作者：
Mijovic, A
中科院分区：
文献类型：
--
作者：
Santosh, PJ;Mijovic, A
背景：。向心理健康服务机构提交的有关儿童和青少年社会损害的信息很少。目标：。本研究旨在评估多动症(HKD)的社会损害、精神病理及环境应激源之间的关系，并确定香港迪士尼出现普及性发育障碍(PDD)症状的频率。方法：。使用1992-2001年间有关儿童和青少年心理健康状况的“项目表”(n=3644)，提取了9个精神病理领域、2个社会损害亚型和9个环境应激源。两种社会障碍亚型分别是关系困难(RD)和社交困难(SCD)(即孤独症样社会损害)。我们调查了香港迪士尼患者的SCD/RD、精神病理领域和环境应激源之间的关系，并与精神对照组进行了比较。结果：。在患有HKD的儿童和青少年中，SCD与言语和语言障碍、重复行为、发育困难(PDD的所有症状)、情感症状、行为问题和ADHD症状有关。人际关系困难与行为问题、情感症状和环境应激源有关。与SCD不同，RD与所有研究的环境应激源有关。HKD组出现PDD症状的儿童明显多于对照组。结论：。这项研究强调了香港迪士尼社交障碍亚型的重要性及其与精神病理和环境压力因素的关系。在香港迪士尼，反映自闭症社交障碍的SCD与其他自闭症症状有关，例如言语和语言问题以及重复行为。香港迪士尼患者中的一小部分可能患有较轻微的自闭症谱系障碍。
Background:. There is paucity of information concerning social impairment in children and adolescents referred to mental health services. Aims:. The aim of this study was to assess the association of social impairment, psychopathology and environmental stressors in Hyperkinetic Disorder (HKD) and to determine the frequency of pervasive developmental disorder (PDD) symptoms in HKD. Method:. 'Item sheets' about children and adolescents seen in child and adolescent mental health between 1992 and 2001 (n = 3644) were used to extract nine psychopathology domains, two social impairment subtypes and nine environmental stressors. The two social impairment subtypes were relationship difficulty (RD) and social communication difficulty (SCD) (i. e. autistic-like social impairment). The association of SCD/RD, psychopathology domains and environmental stressors was investigated in HKD cases and compared to a psychiatric control group. Results:. In children and adolescents with HKD, SCD was associated with speech and language difficulties, repetitive behaviour, developmental difficulties (all symptoms of PDD), affective symptoms, conduct problems and ADHD symptoms. Relationship difficulty was linked to conduct problems, affective symptoms and environmental stressors. Unlike SCD, RD was associated with all of the environmental stressors studied. There were significantly more children with PDD symptoms in the HKD group than in the control group. Conclusion:. This study highlights the importance of subtyping social impairment in HKD and its association with psychopathology and environmental stressors. In HKD, SCD reflecting autistic social impairment is associated with other autistic symptoms, such as speech and language problems and repetitive behaviour. A small subgroup of HKD cases may have a milder form of autistic spectrum disorder.