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Adolescent callous–unemotional traits and conduct disorder in adoptees exposed to severe early deprivation

机译:遭受严重早期剥夺的被收养者的青春期性格-情绪低落特征和品行障碍

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Background There is a debate over whether disruptive behaviour should be regarded as a central component of, or rather as an epiphenomenon with little diagnostic value for, psychopathy. Aims To test whether callousa€“unemotional traits and conduct disorder can be dissociated in the English and Romanian Adoptee Study, a prospective longitudinal study of adopted individuals with a history of severe early institutional deprivation. Method The Child and Adolescent Psychiatric Assessment was used to establish DSM-IV diagnoses for conduct disorder (and also oppositional defiant disorder) at the 15-year follow-up stage. The Inventory of Callousa€“Unemotional Traits questionnaire was administered to assess psychopathy traits. Results There was no significant association between callousa€“unemotional traits and conduct disorder, both according to parent and youth self-report assessed categorically and dimensionally after controlling for confounds. Conclusions The majority of individuals with high callousa€“unemotional traits did not show conduct disorder in this special sample of children. This supports the view that, while common, an overlap between these aspects of psychopathology is not inevitable and so provides evidence for the dissociation of these two concepts. In terms of classification, we argue for a diagnostic scheme where psychopathy can be diagnosed independently of conduct disorder.
机译:背景技术关于是否应该将破坏性行为视为精神病的重要组成部分,或者将其视为对精神病没有多大诊断价值的现象,存在争议。目的为了检验在英国和罗马尼亚被收养者研究中是否可以分离出卡卢萨的情绪低落特征和品行障碍,这是一项对具有严重早期机构剥夺史的被收养者进行的前瞻性纵向研究。方法采用儿童和青少年精神病学评估,在15年的随访阶段建立行为障碍(以及对立违抗障碍)的DSM-IV诊断。卡卢萨的“非情绪性状问卷调查表”用于评估精神病特征。结果根据控制了混杂因素后对父母和青少年的自我报告进行分类和维度评估,卡卢萨人的非情绪性行为与行为障碍之间没有显着关联。结论在这个特殊的儿童样本中,大多数具有较高的老茧无情绪特征的人没有表现出行为障碍。这支持这样一种观点,即尽管很常见,但精神病理学的这些方面之间的重叠并非不可避免,因此为这两个概念的分离提供了证据。在分类方面,我们主张一种可以独立于行为障碍而诊断出精神病的诊断方案。

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