Reliable ratings or reading tea leaves: can parent, teacher, and clinician behavioral ratings of preschoolers predict ADHD at age six?
Reliable ratings or reading tea leaves: can parent, teacher, and clinician behavioral ratings of preschoolers predict ADHD at age six?
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DOI：
10.1007/s10802-013-9802-4
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发表时间：
2014-05
影响因子：
3.6
通讯作者：
Halperin JM
中科院分区：
文献类型：
--
作者：
O'Neill S;Schneiderman RL;Rajendran K;Marks DJ;Halperin JM
评估父母、教师和临床医生对学龄前儿童行为评定的相对能力，以预测6岁时ADHD的严重程度和诊断。对多动/注意力不集中的学龄前儿童[N=104，75%为男孩，平均（SD）年龄= 4.37（.47）岁]进行了为期两年的随访（平均=26.44个月，SD=5.66）。在基线（BL），父母和教师完成了ADHD-RS-IV，临床医生完成了心理测试后的儿童行为评定量表。在6岁时，[平均（SD）年龄= 6.62（.35）岁]，父母接受了K-SADS-PL访谈;教师完成了ADHD-RS-IV;并从儿童中获得了多动，冲动和注意力不集中的实验室测量。分层逻辑回归和线性回归分析分别研究了BL评分的组合最能预测6岁ADHD的诊断和严重程度。在6岁时，56名（53.8%）儿童符合DSM-IV诊断ADHD的标准。父母/教师/临床医生、父母/教师和父母/临床医生组合的BL评分显著预测了6岁时诊断为ADHD的儿童。父母和临床医生，而不是老师，行为评级是ADHD诊断和严重程度的重要独立预测因子。然而，只有临床医生报告的学龄前儿童的行为预测实验室措施的过度活动和注意力不集中的后续行动。跨情境性对于学龄前ADHD的诊断很重要。在家长、教师和临床医生中，来自所有三个被调查者、家长/教师或家长/临床医生的积极认可似乎具有预后价值。临床医生对学龄前儿童注意力不集中、冲动和多动的评分是预测ADHD诊断和严重程度的有效信息来源。
To assess the relative ability of parent, teacher, and clinician behavioral ratings of preschoolers to predict ADHD severity and diagnosis at 6 years of age. Hyperactive/inattentive preschoolers [N=104, 75% boys, Mean (SD) age = 4.37 (.47) years] were followed over two years (mean=26.44 months, SD=5.66). At baseline (BL), parents and teachers completed the ADHD-RS-IV and clinicians completed the Behavioral Rating Inventory for Children following a psychological testing session. At age 6, [Mean (SD) age = 6.62 (.35) years], parents were interviewed with the K-SADS-PL; teachers completed the ADHD-RS-IV; and laboratory measures of hyperactivity, impulsivity, and inattention were obtained from children. Hierarchical logistic and linear regression analyses examined which combination of BL ratings best predicted 6-year-old ADHD diagnosis and severity, respectively. At age 6, 56 (53.8%) children met DSM-IV criteria for a diagnosis of ADHD. BL ratings from parent/teacher/clinician, parent/teacher and parent/clinician combinations significantly predicted children who had an ADHD diagnosis at age 6. Parent and clinician, but not teacher, behavior ratings were significant independent predictors of ADHD diagnosis and severity at 6-years-old. However, only clinician reports of preschoolers’ behaviors predicted laboratory measures of over-activity and inattention at follow-up. Cross-situationality is important for a diagnosis of ADHD during the preschool years. Among parents, teachers and clinicians, positive endorsements from all three informants, parent/teacher or parent/clinician appear to have prognostic value. Clinicians’ ratings of preschoolers’ inattention, impulsivity and hyperactivity are valid sources of information for predicting ADHD diagnosis and severity over time.
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影响因子：
4.6
作者：
Marcus, David K.;Barry, Tammy D.
通讯作者：
Barry, Tammy D.
影响因子：
--
作者：
Lahey, BB;Pelham, WE;Willcutt, E
通讯作者：
Willcutt, E
DOI：
10.1097/00004583-200003000-00012
发表时间：
2000-03-01
影响因子：
13.3
作者：
Mitsis, EM;McKay, KE;Halperin, JM
通讯作者：
Halperin, JM
影响因子：
3.6
作者：
BARKLEY, RA
通讯作者：
BARKLEY, RA
DOI：
10.1023/b:joba.0000013661.14995.59
发表时间：
2004-06-01
影响因子：
1.6
作者：
Grietens, H;Onghena, P;Hellinckx, W
通讯作者：
Hellinckx, W