Standardised assessment of functioning in ADHD: consensus on the ICF Core Sets for ADHD
Standardised assessment of functioning in ADHD: consensus on the ICF Core Sets for ADHD
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DOI：
10.1007/s00787-018-1119-y
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发表时间：
2018-10-01
影响因子：
6.4
通讯作者：
Selb, Melissa
中科院分区：
文献类型：
--
作者：
Bolte, Sven;Mahdi, Soheil;Selb, Melissa
注意力缺陷/多动障碍（ADHD）与社会，教育和职业功能以及特定优势的重大障碍有关。目前，没有国际公认的标准来评估ADHD患者的功能。世卫组织的《国际功能、残疾和健康分类儿童和青年版》可作为这一标准的概念基础。本研究的目的是开发一个全面的，一个共同的简短的，和三个适合年龄的简短的ICF核心集ADHD。使用标准化的方法，四项国际预备研究产生了132个二级ICF候选类别，作为制定ADHD核心集的基础。使用这些类别并遵循迭代共识过程，来自九个专业学科并代表世卫组织所有六个区域的20名ADHD专家选择了最相关的类别，以构成ADHD核心集。协商一致进程产生了72个二级ICF类别，形成了综合ICF核心集，这些类别代表8个机构职能、35个活动和参与以及29个环境类别。还确定了包括38个类别的共同简要核心集。针对儿童的简短核心集包括0-5岁的47类学前版本，6-16岁的55类学龄版本，以及17岁及以上的青少年和成人的52类版本。ADHD的ICF核心集标志着一个里程碑，标志着ADHD在整个生命周期以及教育，行政，临床和研究环境中的国际标准化功能评估。
Attention-deficit/hyperactivity disorder (ADHD) is associated with significant impairments in social, educational, and occupational functioning, as well as specific strengths. Currently, there is no internationally accepted standard to assess the functioning of individuals with ADHD. WHO's International Classification of Functioning, Disability and Healthchild and youth version (ICF) can serve as a conceptual basis for such a standard. The objective of this study is to develop a comprehensive, a common brief, and three age-appropriate brief ICF Core Sets for ADHD. Using a standardised methodology, four international preparatory studies generated 132 second-level ICF candidate categories that served as the basis for developing ADHD Core Sets. Using these categories and following an iterative consensus process, 20 ADHD experts from nine professional disciplines and representing all six WHO regions selected the most relevant categories to constitute the ADHD Core Sets. The consensus process resulted in 72 second-level ICF categories forming the comprehensive ICF Core Setthese represented 8 body functions, 35 activities and participation, and 29 environmental categories. A Common Brief Core Set that included 38 categories was also defined. Age-specific brief Core Sets included a 47 category preschool version for 0-5 years old, a 55 category school-age version for 6-16 years old, and a 52 category version for older adolescents and adults 17years old and above. The ICF Core Sets for ADHD mark a milestone toward an internationally standardised functional assessment of ADHD across the lifespan, and across educational, administrative, clinical, and research settings.