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注意缺陷多动障碍和阅读困难儿童记忆与学习广泛评估的预测准确性

Predictive accuracy of the wide range assessment of memory and learning in children with attention deficit hyperactivity disorder and reading difficulties.

作者信息

Dewey D, Kaplan B J, Crawford S G, Fisher G C

机构信息

Department of Pediatrics, University of Calgary, Alberta Children's Hospital, Canada.

出版信息

Dev Neuropsychol. 2001;19(2):173-89. doi: 10.1207/S15326942DN1902_3.

DOI:10.1207/S15326942DN1902_3
PMID:11530974
Abstract

The predictive accuracy of the Wide Range Assessment of Memory and Learning (WRAML; Sheslow & Adams, 1990) over and above more standardized diagnostic tools in children with attention deficit hyperactivity disorder (ADHD) and reading disabilities (RD) was examined. Fifty-three children with ADHD, 63 with RD, 63 with ADHD-RD, and 112 normal comparison children were administered the WRAML, the Wechsler Intelligence Scale for Children-Third Edition (WISC-III; Wechsler, 1991), the Achenbach (1991) Child Behavior Checklist (CBCL), and the Woodcock-Johnson Psycho-Educational Battery-Revised (WJ-R; Woodcock & Johnson, 1989). Results of a series of discriminant function analyses revealed that the academic, intellectual, and behavioral measures could correctly classify 73.1% of children, but the WRAML subtests alone were able to correctly classify only 58.5% of participants. Combining all of the memory, academic, intellectual, and behavioral measures resulted in 77.5% of cases being correctly classified. These results suggest that the use of a measure of memory functioning such as the WRAML did not significantly improve the predictive accuracy of a diagnosis of ADHD, RD, or both over and above more standard diagnostic academic, intellectual, and behavioral measures.

摘要

研究了广泛记忆与学习评估量表(WRAML;谢斯洛和亚当斯,1990年)在注意力缺陷多动障碍(ADHD)和阅读障碍(RD)儿童中,相对于更标准化诊断工具的预测准确性。对53名患有ADHD的儿童、63名患有RD的儿童、63名患有ADHD-RD的儿童以及112名正常对照儿童施测了WRAML、韦氏儿童智力量表第三版(WISC-III;韦克斯勒,1991年)、阿肯巴克(1991年)儿童行为检查表(CBCL)以及伍德库克-约翰逊心理教育成套测验修订版(WJ-R;伍德库克和约翰逊,1989年)。一系列判别函数分析的结果显示,学业、智力和行为测量能够正确分类73.1%的儿童,但仅WRAML子测验只能正确分类58.5%的参与者。将所有记忆、学业、智力和行为测量结合起来,77.5%的病例被正确分类。这些结果表明,使用如WRAML这样的记忆功能测量工具,相对于更标准的诊断性学业、智力和行为测量工具,并没有显著提高对ADHD、RD或两者诊断的预测准确性。

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