Yeh Chin-Bin, Gau Susan Shur-Fen, Kessler Ronald C, Wu Yu-Yu
Division of Child and Adolescent Psychiatry, Department of Psychiatry, Tri-Service General Hospital, Taipei, Taiwan.
Int J Methods Psychiatr Res. 2008;17(1):45-54. doi: 10.1002/mpr.241.
Although attention deficit/hyperactivity disorder (ADHD) in adulthood has become a topic of considerable interest to psychiatrists over the past decade, little is known about the prevalence or correlates of adult ADHD in the Chinese population. As a first step in addressing this problem, this study presents data on the psychometric properties of the Chinese version of the World Health Organization's Adult ADHD Self-report Scale (ASRS) in a sample of 1031 young males from an army base and 3298 young adults from two colleges. All participants completed the Chinese ASRS. Participants from an army base also completed a clinical assessment including the Wender Utah Rating Scale (WURS) for assessing childhood ADHD, the Impulsiveness Scale for measuring the severity of current impulsive behaviors, and information about substance use. Results showed good concordance (intraclass correlations = 0.80 approximately 0.85) and internal consistency (Cronbach's alpha = 0.83 approximately 0.91) among the ASRS subscales and moderate to high correlations between these subscales and the WURS (Pearson's correlations = 0.37 approximately 0.66). The Chinese ASRS also demonstrated the ability to predict childhood disruptive problems and habitual use of substances. Our findings suggest that the Chinese ASRS is a reliable and valid instrument to assist in screening for adult ADHD.
尽管在过去十年中,成人注意力缺陷/多动障碍(ADHD)已成为精神科医生相当感兴趣的话题,但对于中国人群中成人ADHD的患病率或相关因素却知之甚少。作为解决这一问题的第一步,本研究呈现了来自一个军事基地的1031名年轻男性和两所大学的3298名年轻人样本中,世界卫生组织成人ADHD自我报告量表(ASRS)中文版的心理测量学特性数据。所有参与者都完成了中文版ASRS。来自军事基地的参与者还完成了一项临床评估,包括用于评估儿童期ADHD的温德犹他评定量表(WURS)、用于测量当前冲动行为严重程度的冲动量表以及关于物质使用的信息。结果显示,ASRS各分量表之间具有良好的一致性(组内相关系数=0.80至0.85左右)和内部一致性(克朗巴哈α系数=0.83至0.91左右),并且这些分量表与WURS之间具有中度至高相关性(皮尔逊相关系数=0.37至0.66左右)。中文版ASRS还显示出能够预测儿童期破坏性行为问题和物质的习惯性使用。我们的研究结果表明,中文版ASRS是协助筛查成人ADHD的一种可靠且有效的工具。