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基于理性和实证得出的儿童症状维度:儿童行为检查表的专家评级与验证性因素分析

Rationally and empirically derived dimensions of children's symptomatology: expert ratings and confirmatory factor analyses of the CBCL.

作者信息

Lengua L J, Sadowski C A, Friedrich W N, Fisher J

机构信息

Department of Psychology, University of Washington, Seattle 98195, USA.

出版信息

J Consult Clin Psychol. 2001 Aug;69(4):683-98.

Abstract

Expert ratings and confirmatory factor analyses were used to develop an alternative system for scoring the Child Behavior Checklist (CBCL; T. M. Achenbach, 1991) to measure specific dimensions corresponding to current conceptualizations of child symptomatology. Data were from a nonclinic and 2 independent clinic samples. Subscales measuring Anxiety, Attention Problems/Hyperactivity, Conduct Problems, Depression, Oppositional Defiant, Social Problems/Immaturity, and Somatization were created. Logistic regressions were conducted to evaluate the diagnostic efficiency and discrimination of the new and original approaches to scoring the CBCL. Some of the new subscales demonstrated better sensitivity, positive predictive power, and discriminant validity than the original CBCL subscales; however, subscales from both approaches demonstrated low sensitivity. Results support the use of the new subscales for specific research purposes.

摘要

专家评分和验证性因素分析被用于开发一种替代系统,以对儿童行为清单(CBCL;T.M.阿肯巴克,1991)进行评分,从而测量与当前儿童症状概念相对应的特定维度。数据来自一个非临床样本和两个独立的临床样本。创建了测量焦虑、注意力问题/多动、品行问题、抑郁、对立违抗、社交问题/不成熟和躯体化的分量表。进行逻辑回归以评估对CBCL进行评分的新方法和原始方法的诊断效率和区分度。一些新的分量表比原始的CBCL分量表表现出更好的敏感性、阳性预测能力和判别效度;然而,两种方法的分量表敏感性都较低。结果支持将新的分量表用于特定的研究目的。

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