Mother and teacher reports of ADHD symptoms: DSM-IV Questionnaire data.

Mother and teacher reports of ADHD symptoms: DSM-IV Questionnaire data.
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母亲和老师报告多动症症状:DSM-IV 问卷数据。

DOI:
10.1097/00004583-199909000-00018
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发表时间:
1999
期刊:
Journal of the American Academy of Child and Adolescent Psychiatry.
影响因子:
--
通讯作者:
Waber,D
Waber,D
中科院分区:
--
文献类型:
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作者:
Weiler,MD;Bellinger,D;Marmor,J;Rancier,S;Waber,D

文献摘要

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注意力缺陷多动障碍(ADHD)的诊断被认为最好通过多模式方法来完成。在许多研究和临床环境中,这种广泛的程序可能不可行。一个筛选工具,可以确定儿童满足必要的(但不足够的)标准将允许选择亚组更资源密集型diagnosis procedures.METHODThe诊断评定量表(DRS)完成了母亲和教师的124名儿童转介到医院为基础的诊所和225 nonreferring儿童。作者对问卷进行了主成分分析(PCA),比较了两个样本中儿童的得分,并检查了年龄和性别的影响。来自DRS的诊断没有经过结构化诊断访谈的验证。来自参考样本的儿童比来自社区样本的儿童表现出更多的症状(p <0.001)。在接受DRS衍生ADHD诊断的儿童中,男孩的比例过高。女孩更有可能(92%)接受ADHD的诊断,主要是注意力不集中的亚型,比其他ADHD diagnosis.CONCLUSIONSThe的结果提供了初步支持的有效性,家长和教师DRS的时间和资源效率的筛查工具检查与ADHD相关的症状。J. Am. Acad.儿童青少年精神病学,1999,38(9):1139-1147.
OBJECTIVEDiagnosis of attention-deficit/hyperactivity disorder (ADHD) is thought to be best accomplished by a multimodal approach. In many research and clinical settings, such extensive procedures may not be feasible. A screening instrument that could identify children meeting necessary (but not sufficient) criteria would permit selection of subgroups for more resource-intensive diagnostic procedures.METHODThe Diagnostic Rating Scale (DRS) was completed by the mothers and teachers of 124 children referred to hospital-based clinics and 225 nonreferred children. The authors performed principal components analysis (PCA) on the questionnaire, compared the scores obtained by children from the 2 samples, and examined age and gender effects. Diagnoses derived from the DRS were not validated against structured diagnostic interviews.RESULTSPCAs replicated the DSM-IV symptom combinations. Children from the referred sample exhibited more symptoms (p < .001) than children from the community sample. Boys were overrepresented among the children who received DRS-derived ADHD diagnoses. Girls were more likely (92%) to receive a diagnosis of ADHD, predominantly inattentive subtype, than other ADHD diagnoses.CONCLUSIONSThe results of this study provide preliminary support for the validity of the parent and teacher DRS as time- and resource-efficient screening instruments for examining symptoms associated with ADHD. J. Am. Acad. Child Adolesc. Psychiatry, 1999, 38(9):1139–1147.