The CBCL as a screen for psychiatric comorbidity in paediatric patients with ADHD
The CBCL as a screen for psychiatric comorbidity in paediatric patients with ADHD
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DOI：
10.1136/adc.2004.056937
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发表时间：
2005-10-01
影响因子：
5.2
通讯作者：
Faraone, SV
中科院分区：
文献类型：
--
作者：
Biederman, J;Monuteaux, MC;Faraone, SV
目的：研究儿童行为检查表（CBCL）作为一种筛查工具的信息量，以识别儿科转诊人群中注意缺陷多动障碍（ADHD）的共病和非共病病例。据推测，CBCL的具体规模将有助于识别特定的合并症内ADHD病例在primary care setting.Methods：样本包括儿童和青少年6 - 17岁的两种性别与ADHD（n = 121）。采用受试者工作曲线（ROC）方法来确定哪些CBCL量表最能区分ADHD病例与其伴发的行为、焦虑和情绪障碍的共病。ROC曲线分析显示，CBCL犯罪行为和攻击行为量表预测了结构化访谈导出的品行和双相情感障碍诊断，焦虑/抑郁和攻击行为量表预测了重性抑郁，和焦虑/抑郁和注意力问题量表预测焦虑disorders.Conclusions：这些结果延伸到儿科参考的人口与以前报道的精神病样本记录结构化访谈诊断和综合征一致CBCL量表之间的良好收敛的结果。这些研究结果支持实用的CBCL作为一种筛选工具，用于识别精神共病在ADHD青年在初级保健设置。
Aims: To examine the informativeness of the Child Behavior Checklist ( CBCL) as a screening tool to identify comorbid and non-comorbid cases of attention deficit hyperactivity disorder ( ADHD) in a paediatrically referred population. It was hypothesised that specific scales of the CBCL would help identify specific comorbidities within ADHD cases in the primary care setting.Methods: The sample consisted of children and adolescents 6 - 17 years old of both genders with ADHD ( n = 121). A receiver operating curve ( ROC) approach was used to determine which CBCL scales best differentiated between ADHD cases with and without its comorbidities with conduct, anxiety, and mood disorders.Results: ROC analysis showed that the CBCL Delinquent Behavior and Aggressive Behavior scales predicted the structured interview derived diagnoses of conduct and bipolar disorder, the Anxious/Depressed and Aggressive Behavior scales predicted major depression, and the Anxious/ Depressed and Attention problems scales predicted anxiety disorders.Conclusions: These results extend to a paediatrically referred population with previously reported findings in psychiatric samples documenting good convergence between structured interview diagnoses and syndrome congruent CBCL scales. These findings support the utility of the CBCL as a screening tool for the identification of psychiatric comorbidity in ADHD youth in the primary care setting.