Kronenberger William G, Giauque Ann L, Dunn David W
Department of Psychiatry, Indiana University School of Medicine, and Riley Hospital for Children, Indianapolis, Indiana 46202, USA.
J Child Adolesc Psychopharmacol. 2007 Aug;17(4):511-26. doi: 10.1089/cap.2007.0094.
The aim of this study was to develop a parent-completed questionnaire measure of specific types of aggressive behaviors in children and adolescents.
Two studies tested the psychometrics of the Outburst Monitoring Scale (OMS), a questionnaire measure of verbal, property, self, and physical aggression, based in part on the categories of the Overt Aggression Scale. In Study 1, parents of 23 adolescents with a history of aggressive-disruptive behavior and 30 control adolescents completed the OMS and other measures of aggressive-disruptive behavior. In Study 2, parents of 9 adolescents with a history of aggressive-disruptive behavior completed the OMS and other measures of aggressive-disruptive behavior during open-label treatment with methylphenidate and quetiapine.
Results from both studies demonstrated adequate internal consistency of OMS subscale and total scores. OMS scores correlated significantly with measures of conduct disorder and oppositional defiant disorder and differentiated between control and aggressive sub-samples. Changes in OMS scores during treatment correlated with changes in other measures of aggressive and disruptive behavior.
The OMS demonstrated good internal consistency, strong correlations with other measures of aggressive/disruptive behavior, good differential validity, and sensitivity to change during a medication trial. The OMS offers a quick, valid, questionnaire-based alternative for measuring frequencies of specific aggressive behaviors in clinical and research settings.
本研究旨在开发一种由家长填写的问卷，用于测量儿童和青少年特定类型的攻击行为。
两项研究对爆发监测量表（OMS）的心理测量学特性进行了测试，该量表是一种基于言语、财产、自我和身体攻击类别的问卷，部分基于公开攻击量表的类别。在研究1中，23名有攻击破坏行为史的青少年的家长和30名对照青少年的家长完成了OMS以及其他攻击破坏行为的测量。在研究2中，9名有攻击破坏行为史的青少年的家长在接受哌甲酯和喹硫平开放标签治疗期间完成了OMS以及其他攻击破坏行为的测量。
两项研究的结果均表明OMS子量表和总分具有足够的内部一致性。OMS得分与品行障碍和对立违抗障碍的测量结果显著相关，并且能够区分对照组和攻击行为亚组。治疗期间OMS得分的变化与其他攻击和破坏行为测量结果的变化相关。
OMS表现出良好的内部一致性、与其他攻击/破坏行为测量结果的强相关性、良好的区分效度以及在药物试验期间对变化的敏感性。OMS为在临床和研究环境中测量特定攻击行为的频率提供了一种快速、有效的基于问卷的替代方法。
