Minnis Helen, Rabe-Hesketh Sophia, Wolkind Stephen
Department of Child and Adolescent Psychiatry, University of Glasgow, Scotland.
Int J Methods Psychiatr Res. 2002;11(2):90-8. doi: 10.1002/mpr.127.
A 17-item questionnaire for reactive attachment disorders (RAD) was developed and administered to 182 Scottish children living in foster care. The RAD questionnaire had a good test-retest reliability with an intra-class correlation (ICC) of 0.78 and inter-rater reliability with an ICC of 0.81. Cluster analysis showed that the children fell into three groups, two of which corresponded to the two reactive attachment disorder subtypes. High questionnaire scores for attachment disorders were significantly associated with conduct problems, emotional problems, hyperactivity and problems with peer relations and negatively associated with pro-social behaviour. High overall questionnaire scores for reactive attachment disorder were associated with previous sexual abuse, whereas there was no association with previous physical abuse. High scores for the disinhibited subtype were associated with previous neglect.
编制了一份包含17个条目的反应性依恋障碍(RAD)问卷,并对182名生活在寄养家庭中的苏格兰儿童进行了调查。RAD问卷具有良好的重测信度,组内相关系数(ICC)为0.78,评分者间信度的ICC为0.81。聚类分析表明,这些儿童分为三组,其中两组对应于两种反应性依恋障碍亚型。依恋障碍问卷得分高与行为问题、情绪问题、多动以及同伴关系问题显著相关,与亲社会行为呈负相关。反应性依恋障碍问卷的总体高分与既往性虐待有关,而与既往身体虐待无关。去抑制型亚型的高分与既往忽视有关。