Network Analysis of ADHD and ODD Symptoms: Novel Insights or Redundant Findings with the Latent Variable Model?
Network Analysis of ADHD and ODD Symptoms: Novel Insights or Redundant Findings with the Latent Variable Model?
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DOI：
10.1007/s10802-019-00549-y
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发表时间：
2019-10-01
影响因子：
3.6
通讯作者：
Burns, G. Leonard
中科院分区：
文献类型：
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作者：
Preszler, Jonathan;Burns, G. Leonard
潜变量模型（LVM）和网络分析（NA）被应用到母亲和父亲的注意力缺陷多动障碍（ADHD）和对立违抗性障碍（ODD）症状的评级，以确定NA提供独特的见解相对于LVM。由巴西（n = 894）、泰国（n = 2075）和美国（n = 817）儿童（M-年龄= 9.04，SD = 2.12，49.5%为女性）的母亲和父亲对ADHD-注意力不集中（IN）、ADHD-多动/冲动（HI）和ODD症状沿着学习能力行为（阅读、算术和写作技能）进行评定。结果表明：（1）ADHD-IN、ADHD-HI和ODD三因子模型总体拟合度较好，无局部拟合不良;（2）几乎所有的负荷量都是显著的;（3）相似症状负荷量、相似症状阈值和相似因子均数在母亲和父亲间不存在差异;（4）三因子在母亲和父亲间均具有收敛效度和判别效度;（5）只有ADHD-IN与学业能力呈显著负相关。NA表明（1）步行陷阱社区分析导致ADHD-IN，ADHD-HI和ODD症状社区;（2）这三个症状社区在母亲和父亲之间是一致的;（3）只有三个ADHD-IN症状与三个学术能力项目显示出独特的关系。NA已被证明对许多精神疾病有用。在当前的研究中，NA结果大多与LVM模型一致，但有一些明显的例外。在ADHD/ODD症状相对于其他症状维度的背景下，在模型假设和应用考虑的背景下讨论了结果。
A latent variable model (LVM) and network analysis (NA) were applied to mother and father ratings of attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms to determine if NA offers unique insights relative to the LVM. ADHD-inattention (IN), ADHD-hyperactivity/impulsivity (HI), and ODD symptoms along with academic competence behaviors (reading, arithmetic, and writing skills) were rated by mothers and fathers of Brazilian (n = 894), Thai (n = 2075), and United States (n = 817) children (M-age = 9.04, SD = 2.12, 49.5% females). LVM indicated that (1) the ADHD-IN, ADHD-HI, and ODD three-factor model yielded a close global-fit with no localized ill-fit; (2) nearly all loadings were substantial; (3) like-symptom loadings, like-symptom thresholds, and like-factor means showed invariance across mothers and fathers; (4) the three factors showed convergent and discriminant validity across mothers and fathers; and (5) only the ADHD-IN showed a unique negative relationship with academic competence. NA indicated that (1) a walktrap community analysis resulted in ADHD-IN, ADHD-HI, and ODD symptom communities; (2) the three symptom communities were consistent across mothers and fathers; (3) only three ADHD-IN symptoms showed unique relationships with the three academic competence items. NA has proven useful for numerous mental disorders. In the current study, NA results were mostly congruent with the LVM model, with a few notable exceptions. The results are discussed in the context of model assumptions and application considerations in the context of ADHD/ODD symptoms relative to other symptom dimensions.