Screening for DSM-IV externalizing disorders with the Child Behavior Checklist: a receiver-operating characteristic analysis
Screening for DSM-IV externalizing disorders with the Child Behavior Checklist: a receiver-operating characteristic analysis
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DOI：
10.1111/j.1469-7610.2004.00314.x
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发表时间：
2004-10-01
影响因子：
7.6
通讯作者：
Wadsworth, M
中科院分区：
文献类型：
--
作者：
Hudziak, JJ;Copeland, W;Wadsworth, M
背景资料：本研究探讨了CBCL综合征AS量表预测DSM-IV注意缺陷多动障碍（ADHD）和对立违抗性障碍伴或不伴品行障碍（ODD/CD）的诊断准确性。研究方法：样本包括370名儿童（187名先证者和183名兄弟姐妹），他们参加了一项关于注意力和攻击性行为问题的家族遗传研究。单变量和逐步logistic回归分析用于推导预测两种诊断条件的模型：ADHD和ODD/CD。结果：注意问题综合征对ADHD有显著预测作用，攻击行为综合征对ODD/CD有显著预测作用。两种量表均表现出良好的诊断准确性，通过受试者操作特征分析进行评估。临界点分析证实了低T分数的效用，55对各自的综合征，有效地区分病例和非病例。结论：CBCL综合征对评估儿童常见外化性疾病具有良好的诊断效率。
Background: This study examines the diagnostic accuracy of the CBCL syndrome AS scales for predicting DSM-IV Attention Deficit-Hyperactivity Disorder (ADHD) and Oppositional Defiant Disorder with or without Conduct Disorder (ODD/CD). Methods: The sample included 370 children (187 probands and 183 siblings) participating in a family genetic study of attention and aggressive behavior problems. Univariate and stepwise logistic regression analyses were used to derive models for predicting two diagnostic conditions: ADHD and ODD/CD. Results: The Attention Problems syndrome significantly predicted ADHD, and ODD/CD was significantly predicted by the Aggressive Behavior syndrome. Both scales demonstrated good diagnostic accuracy, as assessed through receiver operating characteristics analyses. Cut-point analyses confirmed the utility of low T-scores, 55 on the respective syndromes, for efficiently discriminating cases from noncases. Conclusions: CBCL syndromes display good diagnostic efficiency for assessing common externalizing disorders in children.