母亲报告对注意缺陷多动障碍诊断的信息价值：母亲与青少年报告的分析
Informativeness of maternal reports on the diagnosis of ADHD: an analysis of mother and youth reports.
作者信息
Biederman Joseph, Ball Sarah W, Mick Eric, Monuteaux Michael C, Kaiser Roselinde, Bristol Elyssa, Faraone Stephen V
机构信息
Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.
出版信息
J Atten Disord. 2007 May;10(4):410-7. doi: 10.1177/1087054706295656.
OBJECTIVE
We evaluated correlates of the diagnosis of ADHD in youth by informant source.
METHOD
Ninety-four pairs of mother reports and youth self-reports on ADHD were independently assessed, using diagnostic interviews from a large study of youth of both genders with and without ADHD. Comparisons were made on measures of interpersonal, school, and family functioning; treatment history; and parental psychopathology by informant source.
RESULTS
With the exception of higher rates of ADHD-associated impairment and higher frequency of treatment for ADHD in the combined youth-mother group. There were no other differences in any other clinical or familial correlates by informant source; both informant groups had higher levels of impairment in multiple nonoverlapping measures of dysfunction than controls. Males were overrepresented among the mother-only group.
CONCLUSION
Maternal reports of ADHD result in a meaningful diagnosis of ADHD with high levels of impairment, regardless of endorsement by the affected youth.
目的
我们通过信息提供者来源评估青少年多动症诊断的相关因素。
方法
使用一项针对患有和未患多动症的男女青少年的大型研究中的诊断访谈，对94对关于多动症的母亲报告和青少年自我报告进行独立评估。按信息提供者来源对人际、学校和家庭功能、治疗史以及父母精神病理学指标进行比较。
结果
除了在青少年与母亲联合组中多动症相关损害发生率较高以及多动症治疗频率较高外，按信息提供者来源，在任何其他临床或家庭相关因素方面均无其他差异；两个信息提供者组在多个不重叠的功能障碍指标上的损害水平均高于对照组。仅母亲报告组中男性比例过高。
结论
无论受影响青少年是否认可，母亲对多动症的报告都能得出有意义的多动症诊断，且损害程度较高。
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