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Sun Linyan,Geng Yaoguo,Wang Hong,et al.
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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
Abstract: AbstractObjectiveTo develop the norm of the ADHD Diagnostic ScaleParent Version(ADHDDSP) 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 1110±280 of completed the Scale. ResultsMales scored higher on two subscale and total score than females.HyperactivityImpulsivity subscale and total score were rated higher for young age groups than older age groups.The testretest reliability of total score were 072,the Crobach alphas were 091,the correlations between each item score and total score were in 061~ 071Significant correlations were found between the total scores of ADHDDSP and attention problems(r=071) and externalizing subscale (r=065)of Achenbach’s CBCL and Hyperactivity index (r=075) of Conners’Parent Symptom Questionnaire.Discriminant validity was evidenced by the ADHDDSP ability to differentiate subjects with and without ADHD.The scale demonstrated excellent sensitivity( 092)and specificity (090).Using an confirmatory factor analysis approach (Liner structural equation modeling),three factors were extracted.Factor I ( inattention ) included also nine DSMIV symptoms of inattention with loadings > or =040;factor II(hyperactivity) comprised first 5 DSMIV symptoms(item 2,4,6,8,10);factor III(impulsivity) symptoms comprised last 4 DSMIV symptoms (item 12,14,16,18). ConclusionThe ADHDDSP scores differently with age and gender.ADHDDSP is found to have good psychometrics properties,with adequate reliability and validity.
Key words: Validity , Norm, Reliability
摘要: 目的建立父母用注意缺陷多动障碍诊断量表(ADHDDSP)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200408—200504在全国12个城市采样1616例(男777例,女839例),年龄6~17(1110±280)岁,由父母填写ADHDDSP。 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=072;Crobacha系数091;项目与总分的一致性r为061~071;父母和教师之间的一致性032。效度:与Conners父母症状问卷的多动指数(r=075),CBCL的注意问题(r=065)、外化性问题(r=065)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092,特异度为090。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
Sun Linyan,Geng Yaoguo,Wang Hong. Norm of ADHD Diagnostic ScaleParent Version in Chinese urban children.[J]. .
苏林雁,耿耀国,王洪,杜亚松,孙凌,赵福涛,范方,全国协作组. 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[J]. 中国实用儿科杂志.
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