Clinical utility of the Chinese Strengths and Weaknesses of ADHD-Symptoms and Normal-Behaviors questionnaire (SWAN) when compared with DISC-IV.
Clinical utility of the Chinese Strengths and Weaknesses of ADHD-Symptoms and Normal-Behaviors questionnaire (SWAN) when compared with DISC-IV.
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DOI：
10.2147/ndt.s65879
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发表时间：
2014
影响因子：
3.2
通讯作者：
Leung PW
中科院分区：
文献类型：
--
作者：
Chan GF;Lai KY;Luk ES;Hung SF;Leung PW
注意力缺陷/多动障碍(ADHD)是一种常见的、损害儿童和青少年的精神障碍。早期识别和及时治疗是至关重要的。评定量表通常被临床医生和研究人员用来评估ADHD儿童。在本研究中，我们旨在检验中文版ADHD症状和正常行为(SWAN)的优缺点问卷的临床实用性。我们对照第四版儿童诊断访谈计划(DISC-IV)验证了它的子量表分数，并考察了它在精神科诊所环境中识别ADHD的能力。我们还测试了年龄和性别对天鹅得分的影响。随后确定了Swan的特定分量表分界点分数。研究对象为290名在当地主流小学就读的6-12岁儿童，采用DISC-IV的家长版进行访谈。他们的父母和老师完成了相应版本的天鹅。家长版和教师版都与DISC-IV有较好的同时效度。它可以在临床样本中很好地识别ADHD。确定了不同性别的截止值。灵敏度和特异度均令人满意。Swan还被发现在识别患有和不患有自闭症谱系障碍的人的ADHD方面表现同样出色。在临床样本中，Swan被证明是一个有用的工具来帮助评估ADHD。
Attention-deficit/hyperactivity disorder (ADHD) is a common and impairing child and adolescent psychiatric disorder. Early identification and prompt treatment are essential. Rating scales are commonly used by clinicians and researchers to assess ADHD children. In the current study, we aimed to examine the clinical utility of the Chinese version of the Strengths and Weaknesses of ADHD Symptoms and Normal Behaviors (SWAN) questionnaire. We validated its subscale scores against the Diagnostic Interview Schedule for Children Version IV (DISC-IV) and looked into its ability to identify ADHD in a psychiatric clinic setting. We also tested age and gender effects on SWAN scores. Specific subscale cutoff scores of SWAN were subsequently determined. A total of 290 children aged 6–12 years old studying in local mainstream primary schools were recruited from a clinic setting and interviewed with the parent version of DISC-IV. Their parents and teachers completed the corresponding version of SWAN. Both parent and teacher versions of SWAN were found to have good concurrent validity with DISC-IV. It could identify ADHD well in a clinic sample. Gender-specific cutoff scores were determined. Sensitivities and specificities were found to be satisfactory. SWAN was also found to perform equally well in identifying ADHD in those with and without comorbid Autistic Spectrum Disorder. SWAN was proven to be a useful tool to aid the assessment of ADHD in a clinic sample.