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注意力缺陷与品行障碍的验证性因素模型。

Confirmatory factor models of attention deficit and conduct disorder.

作者信息

Fergusson D M, Horwood L J, Lloyd M

机构信息

Department of Paediatrics, Christchurch School of Medicine, Christchurch Hospital, New Zealand.

出版信息

J Child Psychol Psychiatry. 1991 Jan;32(2):257-74. doi: 10.1111/j.1469-7610.1991.tb00305.x.

Abstract

The paper presents four alternative confirmatory factor models to represent the structure of measures of attention deficit and conduct disorder obtained from multiple sources. These models range in complexity from a simple one-factor model with no method effects to a two-factor model with method effects. These models were fitted to data gathered on maternal, teacher and self-report of attention deficit and conduct disorder for a sample of New Zealand children studied at ages 9 and 10 years. The analysis strongly suggests that the best representation of the data was a two-factor model in which there were distinct factors of attention deficit and conduct disorder with these factors being highly correlated (r = 0.87-0.88). It is suggested that the most suitable clinical nomenclature may be to describe conduct disorder and attention deficit generically as externalizing disorders, subscripting this classification with clauses which describe the relative contributions of conduct disorder and attention deficit. The implications of this finding for the measurement, classification and explanation of conduct disorder and attention deficit disorder are discussed.

摘要

本文提出了四种替代验证性因素模型,以呈现从多个来源获得的注意力缺陷和品行障碍测量指标的结构。这些模型的复杂程度各异,从没有方法效应的简单单因素模型到有方法效应的双因素模型。这些模型被应用于为新西兰9岁和10岁儿童样本收集的母亲、教师和自我报告的注意力缺陷及品行障碍数据。分析结果强烈表明,数据的最佳表现形式是一个双因素模型,其中注意力缺陷和品行障碍有各自不同的因素,且这些因素高度相关(r = 0.87 - 0.88)。研究表明,最合适的临床术语可能是将品行障碍和注意力缺陷统称为外化障碍,并在该分类后加上描述品行障碍和注意力缺陷相对贡献的子条款。本文还讨论了这一发现对品行障碍和注意力缺陷障碍的测量、分类及解释的影响。

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