Should sluggish cognitive tempo symptoms be included in the diagnosis of attention-deficit/hyperactivity disorder?
Should sluggish cognitive tempo symptoms be included in the diagnosis of attention-deficit/hyperactivity disorder?
复制标题
注意力缺陷/多动障碍的诊断是否应包括认知节奏缓慢症状？
DOI：
10.1097/00004583-200405000-00012
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Hay,DavidA
中科院分区：
文献类型：
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作者：
Todd,RichardD;Rasmussen,ErikR;Wood,Catherine;Levy,Florence;Hay,DavidA
为了确定包括迟缓的认知克里思项目的影响的因素和潜在的类结构的注意力缺陷/多动症（ADHD）亚型的男孩和女孩. METHOD父母报告的两个迟缓的认知克里思项目的人口为基础的样本的1,430名女性双胞胎和1，对414对男性双胞胎进行了分析，沿着的是18 DSM的父母报告-IV ADHD项目使用主成分分析和潜在类别分析。男孩和女孩的因素结构不同。对于男孩来说，有单独的注意力不集中，多动/冲动和迟缓的因素。对于女孩来说，有单独的注意力不集中/迟缓，多动和冲动因素。相比之下，缓慢的认知克里思项目对ADHD的潜在类结构的男孩和女孩的影响最小。CONCLUSIONSSThe列入缓慢的认知克里思项目显着改变ADHD症状协会的男孩和女孩在一个因素分析框架。相比之下，ADHD的潜在类别子类型显示出有限的影响，包括缓慢的认知克里思项目，强调了非常不同的假设的基础连续的行为，而不是离散类区分这两种方法。
OBJECTIVETo determine the impact of including sluggish cognitive tempo items on the factor and latent class structure of attention-deficit/hyperactivity disorder (ADHD) subtypes in boys and girls.METHODParent report of two sluggish cognitive tempo items on a population-based sample of 1,430 female twins and 1,414 male twins were analyzed along with parent report of the 18 DSM-IV ADHD items using principal components analysis and latent class analysis.RESULTSThe inclusion of the two sluggish cognitive tempo items resulted in distinct factor structures for boys and girls. For boys there were separate inattentive, hyperactive/impulsive, and sluggish factors. For girls there were separate inattentive/sluggish, hyperactive, and impulsive factors. In contrast, sluggish cognitive tempo items had minimal impact on the latent class structure of ADHD for both boys and girls.CONCLUSIONSThe inclusion of sluggish cognitive tempo items markedly changed ADHD symptom associations for boys and girls in a factor analytic framework. In contrast, latent class subtyping of ADHD shows limited impact of the inclusion of sluggish cognitive tempo items, emphasizing the very different assumptions about underlying continua of behavior rather than discrete classes that distinguish the two approaches.