Windle M
Research Institute on Alcoholism, Buffalo, New York 14203.
Alcohol Clin Exp Res. 1990 Apr;14(2):232-7. doi: 10.1111/j.1530-0277.1990.tb00478.x.
A somewhat revised four-factor structure emerged for the HK/MBD questionnaire with a sample of nonclinical adolescents. The three factors of hyperactivity/impulsivity, antisocial/oppositional behaviors, and learning problems largely retained their factor integrity, but a distinct peer dysfunction factor replaced attentional/socialization problems with the adolescent sample. Acceptable levels of internal consistency were found for three of the factors (excluding learning problems), and interrater reliability between adolescents and their primary caregivers was significant for all four factors. High factor intercorrelations were reported for hyperactivity/impulsivity and antisocial/oppositional behaviors. Differential predictive relations were found between the four factors and adolescent problem behaviors. Specifically, hyperactivity/impulsivity and antisocial/oppositional behaviors were most highly correlated with externalizing symptoms such as alcohol problems, delinquency, illicit drug use, and poor school performance. Peer dysfunction was most highly correlated with internalizing, depressive symptoms. Learning problems correlated most highly with poor school performance, and moderately with alcohol problems and depressive symptoms. There were no statistically significant differences in the strength of the interrelations between the factors of the HK/MBD questionnaire and adolescent problem behaviors for males and females.
针对非临床青少年样本，香港/情绪与行为障碍问卷出现了某种程度上经过修订的四因素结构。多动/冲动、反社会/对立行为和学习问题这三个因素在很大程度上保持了其因素完整性，但在青少年样本中，一个独特的同伴功能障碍因素取代了注意力/社交问题因素。其中三个因素（不包括学习问题）的内部一致性达到了可接受水平，并且青少年与其主要照顾者之间的评分者间信度在所有四个因素上都很显著。据报告，多动/冲动与反社会/对立行为之间的因素相互关联度很高。在这四个因素与青少年问题行为之间发现了不同的预测关系。具体而言，多动/冲动和反社会/对立行为与诸如酒精问题、犯罪、非法药物使用和学业成绩差等外化症状的相关性最高。同伴功能障碍与内化的抑郁症状相关性最高。学习问题与学业成绩差的相关性最高，与酒精问题和抑郁症状的相关性中等。在香港/情绪与行为障碍问卷的因素与青少年问题行为之间的相互关系强度上，男性和女性没有统计学上的显著差异。
