High-End Specificity of the Attention-Deficit/Hyperactivity Problems Scale of the Child Behavior Checklist for Ages 1.5-5 in a Sample of Young Children with Disruptive Behavior Disorders.
High-End Specificity of the Attention-Deficit/Hyperactivity Problems Scale of the Child Behavior Checklist for Ages 1.5-5 in a Sample of Young Children with Disruptive Behavior Disorders.
复制标题
以患有破坏性行为障碍的幼儿样本为对象的 1.5-5 岁儿童行为检查表的注意力缺陷/多动问题量表的高端特异性。
DOI：
10.1007/s10578-018-0834-4
复制
发表时间：
2019
影响因子：
2.9
通讯作者：
Comer,JonathanS
中科院分区：
文献类型：
--
作者：
Hong,Natalie;Comer,JonathanS
在实践中，ADHD通常在没有诊断访谈或行为观察的情况下使用父母报告进行评估，但人们对评级量表独立检测ADHD的准确性知之甚少。我们使用接受者操作特征分析来评估CBCL 1.5-5注意力缺陷/多动问题量表在具有破坏性行为障碍的幼儿样本（N= 44）中正确分类ADHD存在/不存在的能力，提供了该量表区分ADHD症状与邻近问题（即，“高端特异性”）。在各分数中，量表准确区分了合并ADHD和未合并ADHD的儿童（AUC= 0.83，SE = 0.07）。应用在61-64范围内的切割分数产生了在诊断效用特性之间的最有利的平衡（即，敏感性= 0.71，特异性= 0.91，阳性预测能力= 0.88，阴性预测能力= 0.78）。研究结果提供了实证支持，以加强信心，使用该量表来评估早期儿童多动症，即使在复杂的诊断配置文件的背景下。
In practice, ADHD is commonly assessed with parent-reports in the absence of diagnostic interviews or behavioral observations, yet little is known about how accurately rating scales can independently detect ADHD. We used receiver operating characteristic analysis to evaluate the CBCL 1.5–5 Attention-Deficit/Hyperactivity Problems scale’s ability to correctly classify the presence/absence of ADHD within a sample of young children with disruptive behavior disorders (N= 44), offering a conservative test of the scale’s ability to distinguish ADHD symptoms from neighboring problems (i.e., “high-end specificity”). Across cut scores, the scale accurately differentiated between children with and without co-occurring ADHD (AUC= 0.83,SE= 0.07). Applying a cut score in the range of 61–64 yielded the most favorable balance across diagnostic utility properties (i.e., sensitivity = 0.71, specificity = 0.91, positive predictive power = 0.88, negative predictive power = 0.78). Findings provide empirical support to bolster confidence regarding use of this scale to assess early child ADHD, even in the context of complex diagnostic profiles.