DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents.
DSM-IV field trials for attention deficit hyperactivity disorder in children and adolescents.
复制标题
DOI：
10.1176/ajp.151.11.1673
复制
发表时间：
1994-10
期刊：
影响因子：
--
通讯作者：
B. Lahey;B. Applegate;K. McBurnett;J. Biederman;L. Greenhill;G. Hynd;R. Barkley;J. Newcorn;P. Jensen;J. Richters;B. Garfinkel;Lynn Kerdyk;P. Frick;T. Ollendick;D. Perez;E. L. Hart;I. Waldman;D. Shaffer
中科院分区：
文献类型：
--
作者：
B. Lahey;B. Applegate;K. McBurnett;J. Biederman;L. Greenhill;G. Hynd;R. Barkley;J. Newcorn;P. Jensen;J. Richters;B. Garfinkel;Lynn Kerdyk;P. Frick;T. Ollendick;D. Perez;E. L. Hart;I. Waldman;D. Shaffer
目的确定DSM-IV注意缺陷多动障碍的最佳诊断阈值，并与其他定义进行比较。方法对380名4-17岁的临床转介青少年进行了多个知情人的结构化诊断访谈。此外，还获得了临床医生对注意力缺陷障碍的标准化验证诊断，以评估与临床判断的一致性。获得损害的措施，以评估识别青年与损害条件的准确性。结果根据注意力不集中和多动-冲动的不同维度的偏离程度，将注意缺陷多动障碍分为三种亚型（主要为注意力不集中型、主要为多动-冲动型和混合型）。这三种亚型在损伤类型、年龄和性别比例方面存在差异，但种族无关。在注意缺陷多动障碍的病例识别方面，发现DSM-IV与DSM-III-R非常相似，除了DSM-IV识别出更多受损的女孩和学龄前儿童。结论：这些结果支持将DSM-III-R注意缺陷多动障碍的异质性类别细分为三种亚型的决定。由此产生的DSM-IV定义似乎对小学男生典型症状模式的偏见有所减少。
OBJECTIVE Optimal diagnostic thresholds were determined for DSM-IV attention deficit hyperactivity disorder, and the psychometric properties were compared to alternative definitions. METHOD Structured diagnostic interviews of multiple informants for 380 clinic-referred youths aged 4-17 years were conducted. In addition, standardized clinicians' validation diagnoses of attention deficit disorder were obtained to assess agreement with clinical judgment. Measures of impairment were obtained to assess the accuracy of identifying youth with an impairing condition. RESULTS Three subtypes of attention deficit hyperactivity disorder (predominantly inattentive, predominantly hyperactive-impulsive, and combined types) were distinguished on the basis of the degree of deviance on separate dimensions of inattention and hyperactivity-impulsivity. These three subtypes were found to differ in terms of types of impairment, age, and sex ratio, but not ethnicity. In terms of case identification of attention deficit hyperactivity disorder, DSM-IV was found to be very similar to DSM-III-R, except that DSM-IV identified more impaired girls and preschool children. CONCLUSIONS These results support the decision to subdivide the heterogeneous category of DSM-III-R attention deficit hyperactivity disorder into three subtypes. The resulting DSM-IV definition appears to be somewhat less biased toward the symptom pattern typical of elementary school boys.