Harada Yuzuru, Saitoh Kazuhiko, Iida Junzo, Sasayama Daimei, Sakai Ayako, Imai Junko, Iwasaka Hidemi, Hirabayashi Michiko, Yamada Satoru, Hirabayashi Shinichi, Uchiyama Tokio, Amano Naoji
Mental Health Clinic for Children, Shinshu University Hospital, Nagano, Japan.
Psychiatry Clin Neurosci. 2008 Feb;62(1):120-2. doi: 10.1111/j.1440-1819.2007.01771.x.
The purpose of the present paper was to make a detailed examination of the cut-off point for the Oppositional Defiant Behavior Inventory (ODBI). The subjects were 56 untreated boys (age 6-15 years), who were diagnosed to have oppositional defiant disorder and who presented between December 2001 and March 2008. Controls were 690 boys with no history of contacting hospitals and no developmental or behavioral disorders at two elementary schools and two junior high schools in a city and its suburbs. It was shown that the level of opposition in boys could be evaluated regardless of the age groups by the ODBI, because there was no significant difference in the ODBI score for the one-way analysis of variance. Based on the sensitivity (88.2%), specificity (90.0%), positive predictive value (75.0%) and negative predictive value (95.7%), a score of 20 points was thus established as a suitable cut-off point to distinguish the children who are eligible for ODD diagnosis from those who are not.
本文的目的是对对立违抗行为量表（ODBI）的临界点进行详细研究。研究对象为56名未经治疗的男孩（年龄6 - 15岁），他们被诊断患有对立违抗障碍，于2001年12月至2008年3月间前来就诊。对照组为来自一个城市及其郊区的两所小学和两所初中的690名男孩，他们没有就医史，也没有发育或行为障碍。结果显示，通过ODBI量表，无论年龄组如何，男孩的对立水平都可以得到评估，因为在单因素方差分析中，ODBI得分没有显著差异。基于敏感性（88.2%）、特异性（90.0%）、阳性预测值（75.0%）和阴性预测值（95.7%），因此确定20分为一个合适的临界点，以区分符合对立违抗障碍诊断标准的儿童和不符合的儿童。
