Steingard R, Biederman J, Doyle A, Sprich-Buckminster S
Pediatric Psychopharmacology Unit, Massachusetts General Hospital, Boston 02114.
J Am Acad Child Adolesc Psychiatry. 1992 May;31(3):449-54. doi: 10.1097/00004583-199205000-00010.
Studies have investigated associations between the Child Behavior Checklist (CBCL) and clinical diagnoses without assessing the impact of comorbidity on these results. This study evaluates associations between parental reports from the CBCL and a structured diagnostic interview in children with attention deficit disorder with hyperactivity (ADDH) stratified by the presence (ADDH+) or absence (ADDH-) of psychiatric comorbidity. Interview-defined ADDH children scored significantly worse on all scales of the CBCL compared with scores from interview-defined non-ill comparisons. However, these findings were accounted for by the subgroup of children with ADDH+. The results indicate a good correspondence between CBCL-based ratings and interview-defined diagnoses. These findings also suggest that the CBCL may be a good screening instrument, not only for ADDH but also for comorbid psychiatric disorders.
已有研究调查了儿童行为量表（CBCL）与临床诊断之间的关联，但未评估共病对这些结果的影响。本研究评估了患有注意力缺陷多动障碍（ADDH）的儿童中，根据是否存在精神共病（ADDH+或ADDH-）分层后，CBCL中家长报告与结构化诊断访谈之间的关联。与访谈定义的非患病对照的得分相比，访谈定义的ADDH儿童在CBCL的所有量表上得分显著更低。然而，这些结果可由ADDH+儿童亚组来解释。结果表明基于CBCL的评分与访谈定义的诊断之间具有良好的对应关系。这些发现还表明，CBCL可能是一种良好的筛查工具，不仅适用于ADDH，也适用于共病的精神障碍。
