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一种用于学龄前儿童的参照《精神疾病诊断与统计手册》第四版(DSM-IV)的筛查工具:《儿童早期量表-4》(Early Childhood Inventory-4)

A DSM-IV-referenced screening instrument for preschool children: the Early Childhood Inventory-4.

作者信息

Sprafkin Joyce, Volpe Robert J, Gadow Kenneth D, Nolan Edith E, Kelly Kevin

机构信息

Department of Psychiatry and Behavioral Science, State University of New York at Stony Brook, 11794-8790, USA.

出版信息

J Am Acad Child Adolesc Psychiatry. 2002 May;41(5):604-12. doi: 10.1097/00004583-200205000-00018.

Abstract

OBJECTIVE

To examine the validity of the Early Childhood Inventory-4 (ECI-4), a parent and teacher rating scale designed to screen for DSM-IV emotional and behavioral disorders.

METHOD

The convergent, divergent, and discriminant validity and clinical utility of the ECI-4 was studied in a sample of 224 consecutive referrals (3-6-year-old children) to a child psychiatric outpatient clinic.

RESULTS

The ECI-4 demonstrated adequate criterion validity for the most common disorders (attention-deficit/hyperactivity disorder, oppositional defiant disorder, pervasive developmental disorder) when compared with data-based psychiatric diagnoses and correlated well with relevant scales of the Child Behavior Checklist, Teacher's Report Form, and Inattention/Overactivity With Aggression (IOWA) Conners.

CONCLUSION

The ECI-4 appears to be a useful screening measure for certain disorders in clinically referred children, but continued research is needed to determine its value in other settings (e.g., school and community), and its validity with other measurement methodologies.

摘要

目的

检验《幼儿量表-4》(ECI-4)的有效性,这是一种由家长和教师填写的评定量表,旨在筛查《精神疾病诊断与统计手册第四版》(DSM-IV)中的情绪和行为障碍。

方法

在一家儿童精神科门诊连续转诊的224名(3至6岁)儿童样本中,研究了ECI-4的聚合效度、区分效度、判别效度及临床效用。

结果

与基于数据的精神科诊断相比,ECI-4对最常见的疾病(注意力缺陷多动障碍、对立违抗性障碍、广泛性发育障碍)显示出足够的效标效度,并且与《儿童行为量表》《教师报告表》以及《注意力不集中/多动伴攻击行为量表》(爱荷华康纳斯量表)的相关量表相关性良好。

结论

ECI-4似乎是一种用于临床转诊儿童某些疾病的有效筛查工具,但仍需继续研究以确定其在其他环境(如学校和社区)中的价值,以及其在其他测量方法中的效度。

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