Reliability and validity of ADHD diagnostic criteria in the Assessment System for Individuals with ADHD (ASIA): a Japanese semi-structured diagnostic interview.

Reliability and validity of ADHD diagnostic criteria in the Assessment System for Individuals with ADHD (ASIA): a Japanese semi-structured diagnostic interview.
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DOI:
10.1186/s12888-015-0525-7
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发表时间:
2015-06-20
期刊:
影响因子:
4.4
通讯作者:
Kurita H
Kurita H
中科院分区:
医学2区
文献类型:
--
作者:
Takeda T;Tsuji Y;Uwatoko T;Kurita H

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随着注意力缺陷多动障碍(ADHD)在成人中的高患病率的报道,DSM-5中ADHD诊断标准的公布,以及对符合DSM-5的相关诊断工具的迫切需要,我们开发了ADHD个体评估系统(ASIA),一种日本半结构化诊断访谈。我们在此报告ASIA ADHD诊断标准的信度和效度。ASIA ADHD标准A对应于DSM-5 ADHD标准A,有144个原始问题,评估9个注意力不集中症状和9个多动-冲动症状,每个有4个儿童和4个成年问题。144个问题以3点频率量表进行评估。ASIA ADHD标准B至E对应于DSM-5 ADHD标准B至E,并采用2分量表进行评价。对60名成人(平均年龄,29.9 ± 9.0岁; 28名男性; 36名ADHD和24名非ADHD参与者,由两位专家一致诊断)进行了ASIA。对于ASIA ADHD标准A,成人和儿童注意力不集中和多动-冲动症状的Cronbach α值范围为0.64至0.90。对于144个问题,两名独立评分员的κ值范围为0.98 - 1.00,标准B、C、D和E的原始一致率范围为0.97 - 1.00。共识DSM-5诊断支持60个ASIA诊断中的59个(ADHD和非ADHD)。ADHD组在标准A的144个问题中的125个问题上的得分显著高于非ADHD组。成年期ASIA总分和分量表得分与Conners成人ADHD量表-自我报告日文版的相应得分之间的相关性很高。ASIA ADHD标准显示了可接受的心理测量学特性,但需要进一步调查。使用ASIA ADHD标准可以促进日本成人ADHD的临床实践和研究。本文的在线版本(doi:10.1186/s12888-015-0525-7)包含补充材料,可供授权用户使用。
With reports of a high prevalence of attention-deficit/hyperactivity disorder (ADHD) in adults, publication of ADHD diagnostic criteria in DSM-5, and the urgent need for a relevant diagnostic instrument conforming to DSM-5, we developed the Assessment System for Individuals with ADHD (ASIA), a Japanese semi-structured diagnostic interview. We report here the reliability and validity of ASIA ADHD diagnostic criteria. ASIA ADHD criterion A corresponds to DSM-5 ADHD criterion A and has 144 original questions assessing nine inattention symptoms and nine hyperactivity–impulsivity symptoms, each having four childhood and four adulthood questions. The 144 questions are evaluated on a 3-point frequency scale. ASIA ADHD criteria B to E correspond to DSM-5 ADHD criteria B to E and are evaluated on a 2-point scale. ASIA was administered to 60 adults (mean age, 29.9 ± 9.0 years; 28 males; 36 ADHD and 24 non-ADHD participants diagnosed by consensus of two experts). For ASIA ADHD criterion A, values of Cronbach’s α for the adulthood and childhood inattention and hyperactivity–impulsivity symptoms ranged from 0.64 to 0.90. Values of κ for two independent raters ranged from 0.98 to 1.00 for the 144 questions and raw agreement rates ranged from 0.97 to 1.00 for criteria B, C, D, and E. The consensus DSM-5 diagnoses endorsed 59 of the 60 ASIA diagnoses (ADHD and non-ADHD). The ADHD group scored significantly higher on 125 of the 144 questions for criterion A than the non-ADHD group. Correlations between ASIA total and subscale scores in adulthood and corresponding scores on the Japanese version of the Conners’ Adult ADHD Scales-Self Report were high. ASIA ADHD criteria showed acceptable psychometric properties, although further investigation is necessary. The use of ASIA ADHD criteria could facilitate clinical practice and research into adult ADHD in Japan. The online version of this article (doi:10.1186/s12888-015-0525-7) contains supplementary material, which is available to authorized users.
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