York University, Toronto, Canada.
J Abnorm Child Psychol. 2009 Nov;37(8):1137-50. doi: 10.1007/s10802-009-9336-y.
To examine the unity and diversity of inattention and hyperactivity/impulsivity symptom domains of Attention-Deficit/Hyperactivity Disorder (ADHD) in a clinical sample of adolescents with ADHD. Parents and adolescents were administered a semi-structured diagnostic interview, the Schedule for Affective Disorders and Schizophrenia for School-Age Children - Present and Lifetime Version (K-SADS-PL), to assess adolescent ADHD. Data from 201 parent interviews and 189 adolescent interviews were examined. Four potential factor structures for the 18 ADHD symptoms were tested using confirmatory factor analysis: two models with correlated factors and two bifactor models. A bifactor model with two specific factors best accounted for adolescent symptoms, according to both parent and adolescents' reports. Replication of these findings from behavioral rating scales completed for this sample by parents and teachers indicates that the findings are not method- or informant-specific. The results suggest that there is an important unitary component to ADHD symptoms and separable dimensional traits of Inattention and Hyperactivity/Impulsivity.
为了在 ADHD 青少年的临床样本中研究注意缺陷多动障碍(ADHD)的注意力不集中和多动/冲动症状领域的统一性和多样性。家长和青少年接受了半结构化诊断访谈,即儿童时期的情感障碍和精神分裂症时间表 - 现在和终身版本(K-SADS-PL),以评估青少年 ADHD。对 201 次家长访谈和 189 次青少年访谈的数据进行了检查。使用验证性因子分析测试了 ADHD 18 个症状的四种潜在因素结构:两个相关因素模型和两个双因素模型。根据家长和青少年的报告,双因素模型有两个特定因素可以最好地解释青少年的症状。来自家长和教师为该样本完成的行为评定量表的这些发现的复制表明,这些发现不是方法或信息提供者特异性的。研究结果表明,ADHD 症状存在一个重要的单一组成部分,还有可分离的注意力不集中和多动/冲动维度特征。