Doyle Robert, Mick Eric, Biederman Joseph
Department of Psychiatry, Harvard Medical School, Pediatric Psychopharmacology Unit, Massachusetts General Hospital, Boston, Massachusetts 02114, USA.
J Nerv Ment Dis. 2007 Apr;195(4):350-2. doi: 10.1097/01.nmd.0000253732.79172.43.
We evaluated the convergence of Achenbach youth self-report (YSR) scales with attention-deficit hyperactivity disorder (ADHD) and psychiatric comorbidity derived from self-report structured interviews. Subjects were 251 youths older than 12 years assessed with YSR scales and directly obtained structured diagnostic interview. We evaluated the strength of association between each YSR scale and structured-interview derived diagnoses using total predictive value (TPV) and odds ratios (OR). Excellent convergence was found between the YSR attention problems with the structured interview derived diagnosis of ADHD, between the YSR delinquent behavior scale and the diagnosis of conduct disorder, and between the YSR anxiety/depression and withdrawn scales and the diagnosis of major depression, and between the YSR social problems and somatic scales and the diagnosis of anxiety. These findings indicate that the YSR could serve as a rapid and cost-effective diagnostic tool to identify major psychopathology in high-risk adolescents.
我们评估了阿chenbach儿童自我报告（YSR）量表与注意缺陷多动障碍（ADHD）以及源自自我报告结构化访谈的精神疾病共病之间的相关性。研究对象为251名12岁以上的青少年，他们接受了YSR量表评估并直接进行了结构化诊断访谈。我们使用总预测值（TPV）和优势比（OR）评估了每个YSR量表与结构化访谈得出的诊断之间的关联强度。发现YSR注意问题量表与结构化访谈得出的ADHD诊断之间、YSR违纪行为量表与品行障碍诊断之间、YSR焦虑/抑郁和退缩量表与重度抑郁诊断之间，以及YSR社交问题和躯体症状量表与焦虑诊断之间具有极好的相关性。这些发现表明，YSR可作为一种快速且经济高效的诊断工具，用于识别高危青少年中的主要精神病理学问题。
