DIAGNOSTIC-ACCURACY OF THE CHILD-BEHAVIOR CHECKLIST SCALES FOR ATTENTION-DEFICIT HYPERACTIVITY DISORDER - A RECEIVER-OPERATING CHARACTERISTIC ANALYSIS

DIAGNOSTIC-ACCURACY OF THE CHILD-BEHAVIOR CHECKLIST SCALES FOR ATTENTION-DEFICIT HYPERACTIVITY DISORDER - A RECEIVER-OPERATING CHARACTERISTIC ANALYSIS
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DOI:
10.1037/0022-006x.62.5.1017
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发表时间:
1994-10-01
影响因子:
5.9
通讯作者:
TSUANG, MT
TSUANG, MT
中科院分区:
心理学1区
文献类型:
--
作者:
CHEN, WJ;FARAONE, SV;TSUANG, MT

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使用受试者工作特征(ROC)分析检验了儿童行为量表(CBCL)各分量表对注意缺陷多动障碍(ADHD)的诊断准确性。在121名患有和未患有ADHD的儿童的初始样本中估计了三个逻辑回归模型。然后在一个交叉验证样本(N = 122)以及初始样本和交叉验证样本的111名兄弟和108名姐妹中对这些模型进行了测试。在所有四个组中,CBCL注意力问题分量表对ADHD的区分能力最高。添加其他分量表并没有显著增加ROC曲线下面积。这些研究结果表明,CBCL注意力问题分量表可作为一种快速且有用的筛查工具,不仅有助于在临床环境中识别可能符合ADHD标准的病例,而且还可用于识别ADHD儿童的兄弟姐妹中的ADHD病例。
The diagnostic accuracy of the Child Behavior Checklist (CBCL) scales for attention-deficit hyperactivity disorder (ADHD) were examined using receiver-operating characteristic (ROC) analysis. Three logistic regression models were estimated in an initial sample of 121 children with and without ADHD. These models were then tested in a cross-validation sample (N = 122) and among the 111 brothers and 108 sisters of the initial and cross-validation samples. In all four groups, the CBCL Attention Problems scale had the highest discriminating power for ADHD. Adding other scales did not increase the area under the curve of the ROC significantly. These findings suggest that the CBCL Attention Problems scale could serve as a rapid and useful screening instrument not only to help identify cases likely to meet criteria for ADHD in clinical settings but also to identify cases of ADHD among the siblings of children with ADHD.