中国实用儿科杂志

中国实用儿科杂志

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注意缺陷多动障碍诊断量表父母版的中国城市儿童常模制定及其信度和效度的检验

苏林雁1，耿耀国1，王洪2，杜亚松3，孙凌4，赵福涛1，范方1，全国协作组5   

  1. 中南大学湘雅二医院精神卫生研究所，湖南长沙410011；2.解放军463医院儿科，辽宁沈阳110042；3.上海市精神卫生中心，上海200030；4.天津市安定医院，天津300074；5.全国协作组
  • 收稿日期:2006-06-18 修回日期:2006-07-29 出版日期:2006-11-06 发布日期:2006-11-06

Norm of ADHD Diagnostic ScaleParent Version in Chinese urban children.

Sun Linyan,Geng Yaoguo,Wang Hong,et al.   

  1. The Second Hospital of Xiangya,Zhong Nan University,Changsha 410011,China
  • Received:2006-06-18 Revised:2006-07-29 Online:2006-11-06 Published:2006-11-06

摘要： 目的建立父母用注意缺陷多动障碍诊断量表(ADHDDSP)的中国城市儿童常模，并检验其信度和效度。 方法中南大学湘雅二院精神卫生研究所等单位于200408—200504在全国12个城市采样1616例(男777例，女839例)，年龄6~17(1110±280)岁，由父母填写ADHDDSP。 结果常模样本男性在注意缺陷、多动冲动分量表和总分都高于女性；注意缺陷分量表在各年龄之间差异无显著性意义，多动冲动分量表和总分6~8岁得分最高，随年龄增加而得分递减。信度：间隔4周量表总分的重测信度r=072;Crobachａ系数091;项目与总分的一致性r为061~071；父母和教师之间的一致性032。效度：与Conners父母症状问卷的多动指数(r=075)，CBCL的注意问题(r=065)、外化性问题(r=065)相关；ADHD儿童的得分显著高于常模组；以常模第93百分位作为划界分，对ADHD诊断的灵敏度为092，特异度为090。因子分析提取三因素模型：注意缺陷、多动和冲动。 结论ADHDDS常模分布存在年龄和性别差异，其信度效度达到心理测量学要求，可用于我国儿童ADHD辅助诊断。

关键词: 注意缺陷多动障碍, 量表, 常模, 信度, 效度

Abstract: AbstractObjectiveTo develop the norm of the ADHD Diagnostic ScaleParent Version(ADHDDSP) in Chinese urban children and to test the reliability and validity of this scale. MethodsA sample of students(n=1616)participated in this study.Parents of subjects(777 males and 839 females) from 12 cities of China with the mean age 1110±280 of completed the Scale. ResultsMales scored higher on two subscale and total score than females.HyperactivityImpulsivity subscale and total score were rated higher for young age groups than older age groups.The testretest reliability of total score were 072,the Crobach alphas were 091,the correlations between each item score and total score were in 061~ 071Significant correlations were found between the total scores of ADHDDSP and attention problems(r=071) and externalizing subscale (r=065)of Achenbach’s CBCL and Hyperactivity index (r=075) of Conners’Parent Symptom Questionnaire.Discriminant validity was evidenced by the ADHDDSP ability to differentiate subjects with and without ADHD.The scale demonstrated excellent sensitivity( 092)and specificity (090).Using an confirmatory factor analysis approach (Liner structural equation modeling),three factors were extracted.Factor I ( inattention ) included also nine DSMIV symptoms of inattention with loadings > or =040;factor II(hyperactivity) comprised first 5 DSMIV symptoms(item 2,4,6,8,10);factor III(impulsivity) symptoms comprised last 4 DSMIV symptoms (item 12,14,16,18). ConclusionThe ADHDDSP scores differently with age and gender.ADHDDSP is found to have good psychometrics properties,with adequate reliability and validity.

Key words: Validity , Norm, Reliability