The Role of Impairment in the Diagnosis of ADHD
The Role of Impairment in the Diagnosis of ADHD
复制标题
DOI：
10.1177/1087054707314028
复制
发表时间：
2008-03-01
影响因子：
3
通讯作者：
Gordon, Michael
中科院分区：
文献类型：
--
作者：
Gathje, Rebecca A.;Lewandowski, Lawrence J.;Gordon, Michael
目的：尽管ADHD的临床和研究定义更多地依赖于报告的症状，但目前的ADHD诊断标准要求在诊断时考虑损害。本研究探讨了损害与症状的关系，损害的预测变量，以及当损害标准被添加到症状标准中时ADHD识别的变化。方法：采用家长和教师档案评定量表数据对ADHD的症状和损害进行评估。结果：结果表明：(A)单独的损害测量和全球损害指数充其量只能与症状报告适度相关；(B)预测变量在损害的变异中所占的比例很小；以及(C)当考虑损害测量时，符合ADHD诊断标准的儿童数量差异很大。结论：症状和损害是相关但不同的结构，应独立测量以确定ADHD的存在。(J.of Att.迪什。2008；11(5)529-537)
Objective: Current diagnostic criteria for ADHD require the consideration of impairment in making a diagnosis, although clinical and research definitions of ADHD rely more heavily on reported symptoms. This study explored the relationship between impairment and symptoms, variables predictive of impairment, and variation in ADHD identification when impairment criteria are added to symptom criteria. Method: ADHD symptoms and impairment were assessed using archival parent and teacher rating scale data. Results: The results indicated that (a) single impairment measures alone and a global impairment index were, at best, only moderately correlated with symptom reports; (b) predictor variables accounted for a small percentage of the variance in impairment; and (c) the number of children meeting criteria for ADHD diagnosis varied dramatically when impairment measures were considered. Conclusion: Symptoms and impairment are related yet distinct constructs that should be measured independently to determine the presence of ADHD. (J. of Att. Dis. 2008; 11(5) 529-537)