Adolescent and caregiver reports of ADHD symptoms among inner-city youth: agreement, perceived need for treatment, and behavioral correlates.

Adolescent and caregiver reports of ADHD symptoms among inner-city youth: agreement, perceived need for treatment, and behavioral correlates.
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DOI:
10.1177/1087054712443160
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发表时间:
2014-04
影响因子:
3
通讯作者:
Spiewak G
Spiewak G
中科院分区:
医学2区
文献类型:
--
作者:
Hogue A;Dauber S;Lichvar E;Spiewak G

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本研究调查了青少年和照顾者报告的ADHD症状在一个临床转诊的城市青少年样本。参与者(N = 168)包括12-18岁的青少年(54%为男性,98%为少数民族)和他们的照顾者,他们每个人都完成了ADHD症状的诊断访谈,以及对ADHD治疗的感知需求和相关行为问题的评估。被调查者在DSM-IV诊断类别和维度量表、注意力不集中/混乱(I/D)和多动/冲动(H/I)上的一致性很差。照顾者和青少年报告的I/D症状,而不是H/I症状,都与ADHD治疗的感知需求有关。照顾者报告与典型的ADHD相关的行为相关:I/D症状与计划/组织和社会情感缺陷相关,H/I症状与外化和行为调节缺陷相关。相比之下,青少年的I/D报告与内在化和外在化问题有关,而他们的H/I报告仅与外在化有关。几乎没有发现性别影响。研究结果强调了I/D症状的发育显著性,并对青少年ADHD的诊断和治疗计划具有启示意义。
This study investigated adolescent and caregiver reports of ADHD symptoms in a sample of clinically referred inner-city adolescents. Participants (N = 168) included youth ages 12–18 (54% male, 98% ethnic minority) and their caregivers who each completed diagnostic interviews of ADHD symptoms and assessments of perceived need for ADHD treatment and correlated behavior problems. Informants showed poor agreement on DSM-IV diagnostic categories and also dimensional scales, Inattention/Disorganization (I/D) and Hyperactivity/Impulsivity (H/I). Both caregiver and adolescent reports of I/D symptoms, but not H/I symptoms, were related to perceived need for ADHD treatment. Caregiver reports were linked to behavioral correlates typically associated with ADHD: I/D symptoms correlated with planning/organization and socioemotional deficits, and H/I symptoms correlated with externalizing and behavior regulation deficits. In contrast, adolescent reports of I/D were related to internalizing and externalizing problems, and their reports of H/I correlated with externalizing only. Few gender effects were found. Study results underscore the developmental salience of I/D symptoms and have implications for ADHD diagnosis and treatment planning for adolescents.
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