The latent structure of attention-deficit/hyperactivity disorder: a taxometric analysis
The latent structure of attention-deficit/hyperactivity disorder: a taxometric analysis
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DOI：
10.1080/j.1440-1614.2006.01863.x
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发表时间：
2006-08-01
影响因子：
4.6
通讯作者：
Sawyer, Michael
中科院分区：
文献类型：
--
作者：
Haslam, Nick;Williams, Ben;Sawyer, Michael
目的：从澳大利亚流行病学研究中抽取的1774名儿童（6 - 12岁）和1222名青少年（13 - 17岁）样本，检验注意力缺陷/多动障碍（ADHD）的潜在结构是分类的还是维度的。方法：两种分类方法（MAXEIG和MAMBAC）通过诊断性访谈和家长评分对ADHD症状进行检查。结果：与行为遗传学研究一致，研究结果不能支持潜在类别支持ADHD的观点。结论：ADHD在儿童和青少年中是一个连续的模型，因此没有离散的功能障碍可以被认为是导致它的原因。因此，诊断阈值的位置应根据实际理由（例如损害或需要治疗）来决定。
Objective: To test whether the latent structure of attention deficit/hyperactivity disorder (ADHD) is best understood as categorical or dimensional in samples of 1774 children (aged 6 - 12 years) and 1222 adolescents (aged 13 - 17 years) drawn from an Australian epidemiological study.Method: Two taxometric procedures (MAXEIG and MAMBAC) examined ADHD symptom measures assessed by diagnostic interview and parental ratings.Results: Consistent with behavioural genetic research, findings fail to support the view that a latent category underpins ADHD.Conclusions: ADHD is best modelled as a continuum among both children and adolescents, and no discrete dysfunction can therefore be assumed to cause it. The placement of the diagnostic threshold should therefore be decided on pragmatic grounds ( e. g. impairment or need for treatment).