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首页> 外文期刊>Journal of psychopathology and behavioral assessment >Unique and Interactive Associations of Callous-Unemotional Traits, Impulsivity and Grandiosity with Child and Adolescent Conduct Disorder Symptoms
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Unique and Interactive Associations of Callous-Unemotional Traits, Impulsivity and Grandiosity with Child and Adolescent Conduct Disorder Symptoms

机译:无情的无情的特征,冲动和儿童和青春期导致疾病症状的独特和互动协会

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The construct of psychopathy remains underrepresented in the clinical diagnosis of Conduct Disorder (CD) as the Diagnostic and Statistical Manual of Mental Disorders 5th edition (DSM-5) only addresses one out of the three dimensions of child psychopathy, Callous Unemotional (CU) traits. This study tests if and to what extent there are unique and interactive associations of CU traits, impulsivity, and grandiosity with child and adolescent CD symptoms. Data were collected from two separate community samples of children (N = 1599; Mage = 9.46, SD = 1.65; 52% female) and adolescents (N = 2719; Mage = 16.99, SD = 0.99; 49% female), who were followed longitudinally after a year. Hierarchical linear regression analyses were conducted, testing cross-sectional and longitudinal associations with CD symptoms, taking into account all three psychopathy dimensions. The cross-sectional findings indicate that only youth presenting a combination of all three psychopathy dimensions scored above the clinical cut-off score for CD. On the other hand, longitudinal findings provided evidence that the combination of high initial levels of CD and CU traits as well as the combination between CD, grandiosity, and impulsivity can lead to clinical levels of future CD symptoms. Findings also indicated that CU traits and impulsivity more strongly predicted adolescent than child CD symptoms, and that CU traits were more strongly associated with boys' than girls' CD symptoms. Findings support the inclusion of CU traits as a specifier for the diagnosis of CD, and provide evidence that other psychopathy dimensions can also help clinicians to better understand and treat youth with CD, and should be considered for future revisions of the DSM.
机译:由于精神障碍的诊断和统计手册第五版(DSM-5)作为诊断和统计手册(DSM-5)的诊断和统计手册,仍然是临床诊断(DSM-5)的诊断和统计手册仍然受到尊重。 。该研究试验如果以及在多大程度上存在Cu特征,冲动性和与儿童和青少年CD症状的独特互动的关联。从两个单独的儿童群落样本中收集数据(n = 1599;法师= 9.46,sd = 1.65; 52%的雌性)和青少年(n = 2719;法师= 16.99,sd = 0.99; 49%的女性),他一年后纵向。进行了分层线性回归分析,测试了与CD症状的横截面和纵向关联,同时考虑到所有三个精神病尺寸。横截面调查结果表明,只有青春才表明所有三个精神病尺寸的组合均得分以临床截止得分为CD。另一方面,纵向调查结果提供了证据表明CD和Cu特征的高初始水平以及Cd之间的组合,CD,宏细胞和冲动之间的组合可导致未来CD症状的临床水平。结果也表明Cu特征和冲动比儿童CD症状更强烈地预测的青少年,而且Cu特征与男孩的CD症状更强烈。调查结果支持将Cu特征作为诊断CD的说明书,并提供证据表明其他精神病理尺寸也可以帮助临床医生用CD更好地理解和治疗青年,并且应该被视为未来的DSM修订。

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