Validity of self-report and informant rating scales of adult ADHD symptoms in comparison with a semistructured diagnostic interview.

Validity of self-report and informant rating scales of adult ADHD symptoms in comparison with a semistructured diagnostic interview.
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DOI:
10.1177/1087054705283650
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发表时间:
2006-02-01
影响因子:
3
通讯作者:
Gudmundsson, Olafur O
Gudmundsson, Olafur O
中科院分区:
医学2区
文献类型:
--
作者:
Magnusson, Pall;Smari, Jakob;Gudmundsson, Olafur O

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在一项对确诊为ADHD的先证者亲属的ADHD症状的研究中,通过半结构化的诊断访谈,以适用于成人的学龄儿童情感障碍和精神分裂症时间表(K-SADS)为标准,调查了儿童和成年期自我报告和信息提供者报告症状的有效性。参与调查的亲属包括80名女性和46名男性,年龄在17至77岁之间。根据精神障碍诊断与统计手册(第4版)的评定量表由参与者和被调查者完成。量表的内部一致性和诊断访谈的解释者信度令人满意。不同信息来源的评分之间的相关性支持收敛效度和发散效度。自我报告量表和被告知者量表预测儿童和成年时期基于访谈的诊断具有足够的敏感性和特异性。结论是,评定量表至少在高危人群中具有良好的心理测量特性。
In a study of ADHD symptoms in the relatives of probands diagnosed with ADHD, the validity of self-reported and informant-reported symptoms in childhood and adulthood was investigated with a semistructured diagnostic interview, the Schedule for Affective Disorders and Schizophrenia for School-Age Children (K-SADS) adapted for adults, as a criterion. The participating relatives were 80 women and 46 men aged 17 to 77. Rating scales based on the Diagnostic and Statistical Manual of Mental Disorders (4th ed.) were completed by participants and informants. Internal consistency of the scales and interrater reliabilities of the diagnostic interview were satisfactory. Correlations between ratings across sources of information supported convergent and divergent validity. Self-report scales and informant scales predicted interview-based diagnoses in childhood and adulthood with adequate sensitivities and specificities. It was concluded that the rating scales have good psychometric properties, at least in at-risk populations.