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首页> 外文期刊>Nordic journal of psychiatry. >A long-term follow-up study of adolescents with conduct disorder: Can outcome be predicted from self-concept and intelligence?
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A long-term follow-up study of adolescents with conduct disorder: Can outcome be predicted from self-concept and intelligence?

机译:青少年品行障碍的长期随访研究:可以通过自我概念和智力预测结果吗?

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BACKGROUND: This study examines Swedish young adults (age 21) with a history of conduct disorder (CD) in adolescence. Research has established CD as a condition for a range of adverse outcomes. Intelligence, aggression, parent-child conflict, parent-child relation and peer-rejection are known factors influencing the outcome. AIM: The aim of this longitudinal study is to find how self-confidence and intelligence in an inpatient group diagnosed with CD are related to health in young adulthood. METHODS: The subjects were diagnosed with CD in their adolescence at the inpatient child and adolescent psychiatric unit. Using structured questionnaires as independent variables, this study uses multiple regression analysis to predict health outcomes. RESULTS: The results showed that self-concept and verbal intelligence could significantly predict health outcomes. However, in the multivariate analysis, only self-concept variables significantly predicted the outcome. The predicted outcome was small, but substantial in most models (R(2)=0.12-0.25). CONCLUSION: This means that clinicians need to be humble in forecasting individual adult health among adolescents with severe CD. According to this study, it is difficult to separate positive and negative outcomes. We suggest that this structural data has better prediction potential than medical casebook data. If this is the general case, this psychometric data paves the way for more structural ways of assessing child and adolescence psychiatric problems.
机译:背景:这项研究检查了瑞典年轻人(21岁),其在青春期有行为障碍(CD)的病史。研究已将CD列为一系列不良后果的条件。智力,攻击性,亲子冲突,亲子关系和同伴拒绝是影响结果的已知因素。目的:这项纵向研究的目的是发现诊断为CD的住院患者的自信心和智力如何与年轻成年期的健康相关。方法:受试者在住院儿童和青少年精神病学部门的青春期被诊断为CD。本研究使用结构化问卷作为自变量,使用多元回归分析预测健康结果。结果:结果表明,自我概念和言语智力可以显着预测健康状况。但是,在多变量分析中,只有自我概念变量才能显着预测结果。预测的结果很小,但在大多数模型中都是可观的(R(2)= 0.12-0.25)。结论:这意味着临床医生在预测患有严重CD的青少年中成人的健康状况时必须保持谦逊。根据这项研究,很难区分积极和消极的结果。我们建议,该结构数据比医疗案例数据具有更好的预测潜力。如果这是一般情况,则该心理测量数据为评估儿童和青少年精神病问题的更结构化方法铺平了道路。

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