[中文版学龄期儿童执行功能家长版行为评定量表的信效度研究]

[Reliability and validity of behavior rating scale of executive function parent form for school age children in China].

作者信息

Qian Ying, Wang Yu-feng

机构信息

Institute of Mental Health, Peking University, Beijing 100083, China.

出版信息

Beijing Da Xue Xue Bao Yi Xue Ban. 2007 Jun 18;39(3):277-83.

PMID:17572784

Abstract

OBJECTIVE

To test the reliability and validity of the behavior rating scale of executive function (BRIEF) parent form for school age children in China.

METHODS

A total of 216 patients [attention deficit hyperactivity disorder (ADHD) or schizophrenia or autism] and 311 normal controls were involved in this research. parents of the subjects completed the BRIEF, ADHD rating scale-IV, Conners, and Rutter rating scales. And performance-based tests of executive function were carried out among some of the controls and ADHD subjects. These tests included Rey-Osterrieth complex figure (ROCF),trail-making test, digit span test, Tower of Hanoi (TOH), and Stroop test.

RESULTS

Test-retest reliability was 0.68-0.89 and Cronbach a coefficient was 0.74- 0.96 except for the initial subscale (0.61). Subscales of BRIEF were moderately correlated (r=0.41-0.64) with subscales of other criteria scales such as ADHD rating scale-IV, etc. And there were correlations (r=0.32-0.41) between subscales of BRIEF and some indexes of the performance-based tests of executive function in the control group while the correlations in the diagnostic group were negative. For example, the inhibition subscale correlated with detailed score of ROCF delayed recall test and Stroop word-color interference time (r=-0.32, 0.38). The working memory subscale correlated with time for trial B of the trail-making test, numbers of backwards digit test and Stroop word-color interference time (r=0.30, -0.39, 0.41). Lisrel Confirmatory factor analysis showed that the 8-subscale model of BRIEF was reasonable. Compared with the control group, the diagnostic groups (ADHD-C, ADHD-I, schizophrenia and autism ) got significant higher scores almost on all subscales of BRIEF (Z=-3.17--4.17, P<0.01), respectively . And ADHD-C group got significant higher scores on inhibition, monitor and shift subscales of BRIEF than ADHD-I group (Z=-4.23--4.59, P<0.01).

CONCLUSION

The BRIEF parent form for school age children was proved to have adequate reliability and validity in China.

摘要

目的

检验执行功能行为评定量表（BRIEF）家长版在中国学龄儿童中的信度和效度。

方法

本研究共纳入216例患者[注意缺陷多动障碍（ADHD）、精神分裂症或自闭症患者]和311名正常对照。受试者的家长完成了BRIEF、ADHD评定量表-IV、康纳斯量表和瑞特量表。部分对照和ADHD受试者还进行了基于表现的执行功能测试。这些测试包括雷-奥斯特里思复杂图形（ROCF）、连线测验、数字广度测验、河内塔（TOH）和斯特鲁普测验。

结果

重测信度为0.68 - 0.89，除初始分量表（0.61）外，克朗巴哈α系数为0.74 - 0.96。BRIEF的分量表与其他标准量表如ADHD评定量表-IV等的分量表呈中度相关（r = 0.41 - 0.64）。BRIEF的分量表与对照组基于表现的执行功能测试的一些指标之间存在相关性（r = 0.32 - 0.41），而在诊断组中相关性为负。例如，抑制分量表与ROCF延迟回忆测试的详细得分和斯特鲁普字色干扰时间相关（r = -0.32，0.38）。工作记忆分量表与连线测验B的时间、倒背数字测验的数字个数和斯特鲁普字色干扰时间相关（r = 0.30，-0.39，0.41）。Lisrel验证性因素分析表明BRIEF的8分量表模型合理。与对照组相比，诊断组（ADHD-C、ADHD-I、精神分裂症和自闭症）在BRIEF几乎所有分量表上的得分均显著更高（Z = -3.17 - -4.17，P < 0.01）。并且ADHD-C组在BRIEF的抑制、监控和转换分量表上的得分显著高于ADHD-I组（Z = -4.23 - -4.59，P < 0.01）。