《精神疾病诊断与统计手册》第四版修订版（DSM-IV-TR）症状在预测DSM-IV-TR注意缺陷多动障碍（ADHD）亚型和对立违抗性障碍（ODD）方面的诊断效用
Diagnostic utility of DSM-IV-TR symptoms in the prediction of DSM-IV-TR ADHD subtypes and ODD.
作者信息
Owens J, Hoza B
机构信息
Department of Psychology, Ohio University, Athens 45701, USA.
出版信息
J Atten Disord. 2003 Sep;7(1):11-27; discussion 29. doi: 10.1177/108705470300700102.
OBJECTIVE
Examined the diagnostic utility of DSM-IV-TR symptoms in the prediction of DSM-IV-TR ADHD subtypes and ODD to: (a) Assess the relative utility of parent and teacher ratings, and (b) Examine the utility of individual symptoms as inclusion and exclusion criteria.
METHOD
Parent and teacher versions of the Disruptive Behavior Disorders Rating Scale were completed for 440 children (217 boys; 223 girls) ranging in age from 9 to 13 years and were used to classify children into groups. Individual symptoms were used to compute corrected conditional probability statistics.
RESULTS
Corrected positive predictive power (cPPP) statistics indicated that parent and teacher ratings had similar diagnostic utility in the prediction of the presence of ADHD, Inattentive Type and ADHD, Hyperactive/Impulsive Type, and that their combination did not provide incremental utility over either informant alone. However, cPPP statistics for ADHD, Combined Type, and ODD indicated that teacher ratings, and the use of combined parent and teacher ratings, provided an advantage over parent ratings alone. Results support the use of a multi-method, multi-informant assessment approach.
目的
研究《精神疾病诊断与统计手册》第四版修订版（DSM-IV-TR）症状在预测DSM-IV-TR注意缺陷多动障碍（ADHD）亚型和对立违抗性障碍（ODD）方面的诊断效用，以：（a）评估家长和教师评定的相对效用，以及（b）检验个体症状作为纳入和排除标准的效用。
方法
对440名年龄在9至13岁的儿童（217名男孩；223名女孩）完成了破坏性行为障碍评定量表的家长版和教师版，并用于将儿童分组。个体症状用于计算校正后的条件概率统计量。
结果
校正后的阳性预测力（cPPP）统计量表明，家长和教师评定在预测ADHD、注意力不集中型和ADHD、多动/冲动型的存在方面具有相似的诊断效用，并且它们的组合并没有比单独使用任何一方提供更多的效用。然而，ADHD混合型和ODD的cPPP统计量表明，教师评定以及家长和教师评定的联合使用比单独的家长评定具有优势。结果支持使用多方法、多信息提供者的评估方法。
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