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首页> 外文期刊>The British journal of psychiatry : >Adolescent callous-unemotional traits and conduct disorder in adoptees exposed to severe early deprivation
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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无情情绪特征和品行障碍

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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 callous-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 Callous-Unemotional Traits questionnaire was administered to assess psychopathy traits. Results: There was no significant association between callous-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 callous-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：关于是否应该将破坏性行为视为精神疾病的主要组成部分，或者作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的收养研究中，是否可以消除残酷的情绪低落特征和品行障碍，这是一项对有严​​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：在15年的随访期中，使用了儿童和青少年精神病学评估来建立DSM-IV诊断行为障碍（以及对立违抗性障碍）。进行了无情-非情绪性状问卷调查表，以评估精神病特征。结果：根据父母和青少年的自我报告，在控制了混杂因素之后，进行了分类和维度评估，结果表明，ous性情绪低落特征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call性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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