Abstract：
Cognitive Disengagement Syndrome (CDS) is a cluster of behavioral problems that severely affect an individual\'s functioning. Currently, there is no consensus on the main clinical features of CDS, and further exploration in large samples is needed. Using a cluster-stratified random sampling method, 72,106 children and adolescents were recruited from five provinces in mainland China for this study. Using both the traditional two-factor scoring method and the CBCL DSM-oriented scales, we assessed individual behavioral problems from psychopathological and DSM-oriented perspectives. Network analysis was employed to explore the relationship between CDS and behavioral problems. The various networks were compared by gender and age subgroups. Among 72,106 participants (mean age, 11.49 years; minimum age, 5 years; maximum age, 16 years), there were 36,449 males (50.5%) and 35,657 females (49.5%). From a psychopathological perspective, the motor symptoms node was associated with the sad node and the withdrawn node, while the cognitive symptoms node was linked to the nervous node and the self-conscious node. In terms of gender, males had stronger associations of the motor symptoms node with the sad node and the withdrawn node than females (P = 0.043), and weaker associations of the cognitive symptoms node with the nervous node than females (P = 0.027). In terms of growth stage, the adolescent group had stronger associations of the cognitive symptoms node with the nervous node and the self-conscious node than the child group (P = 0.016, 0.001). From DSM perspective, motor symptoms node were associated with sad node, and cognitive symptoms node were related to can\'t concentrate node, nervous node, and worthless node. With increasing age, there was an upward trend in the strength of the cognitive and motor symptoms node. CDS is closely linked to psychological and behavioral issues, especially internalizing problems, with differences observed by gender and growth stage. The connection between CDS and the affective, anxiety, and ADH symptoms is particularly pronounced.
摘要：
认知脱离综合征(CDS)是一组严重影响个体功能的行为问题。目前,关于CDS的主要临床特征尚无共识，需要在大样本中进一步探索。采用整群分层随机抽样方法，本研究从中国大陆五个省份招募了72,106名儿童和青少年。同时使用传统的双因素评分方法和CBCL面向DSM的量表，我们从心理病理学和面向DSM的角度评估个人行为问题。采用网络分析法探讨CDS与行为问题的关系。按性别和年龄亚组比较了各种网络。在72,106名参与者中(平均年龄，11.49岁；最低年龄，5岁；最大年龄，16年),男性36,449人(50.5%),女性35,657人(49.5%)。从精神病理学的角度来看，运动症状节点与悲伤节点和撤回节点有关，而认知症状节点与神经节点和自我意识节点有关。在性别方面,男性与女性相比，运动症状节点与悲伤节点和退缩节点的关联更强（P=0.043）。与女性相比，认知症状节点与神经节点的关联较弱（P=0.027）。从成长阶段来看,与儿童组相比,青少年组认知症状节点与神经节点和自我意识节点的关联更强(P=0.016,0.001).从DSM的角度来看,运动症状节点与悲伤节点有关，认知症状节点与不能集中节点有关，神经节点,和毫无价值的节点。随着年龄的增长,认知和运动症状节点的强度呈上升趋势。CDS与心理和行为问题密切相关，尤其是内化问题，根据性别和生长阶段观察到的差异。CDS和情感之间的联系，焦虑,ADH症状尤为明显。
