GESIS, Mannheim, Germany.
J Atten Disord. 2013 Feb;17(2):114-27. doi: 10.1177/1087054711427397. Epub 2011 Nov 18.
Adult Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) and retrospective childhood Wender-Utah ADHD criteria are implemented in self-report measures to assess adult ADHD and its required onset in childhood. Yet their dimensional structure and relationship to adult ADHD depressivity is still at debate. Therefore, both aspects were investigated, applying two respective German instruments (ADHD-Self-Report [ADHD-SR] and Wender Utah Rating Scale-German [WURS-G]) to two student samples.
ADHD-SR and WURS-G dimensions were identified by nonlinear confirmatory factor analyses, and their interrelations and relationship with adult depressivity were identified by structural equation modeling.
Adult ADHD-SR symptoms were organized into inattention, hyperactivity, and impulsivity, and WURS-G symptoms were organized into inattention/hyperactivity, affect lability, depressivity, and conduct problems. Yet only the first two WURS factors directly affected adult ADHD facets, though childhood depressivity influenced them indirectly via adult depressivity.
Only criteria of the first two WURS factors can be considered valid childhood ADHD indicators. Thus, only they should be used as an aid in the retrospective assessment of ADHD symptoms.
成人诊断与统计手册（第四版；DSM-IV）和回溯性儿童 Wender-Utah ADHD 标准都被纳入自我报告测量中，以评估成人 ADHD 及其在儿童时期的发病情况。然而，它们的维度结构及其与成人 ADHD 抑郁的关系仍存在争议。因此，本研究通过应用两个分别的德国工具（ADHD 自评量表[ADHD-SR]和 Wender Utah 评定量表-德语版[WURS-G]）对两个学生样本，调查了这两个方面。
通过非线性验证性因子分析确定 ADHD-SR 和 WURS-G 的维度，并通过结构方程模型确定它们之间的相互关系以及与成人抑郁的关系。
成人 ADHD-SR 症状被分为注意力不集中、多动和冲动，而 WURS-G 症状被分为注意力不集中/多动、情绪不稳定、抑郁和行为问题。然而，只有前两个 WURS 因子直接影响成人 ADHD 方面，尽管儿童期抑郁通过成人抑郁间接影响它们。
只有前两个 WURS 因子的标准才能被视为儿童 ADHD 的有效指标。因此，只有它们应该作为 ADHD 症状回溯评估的辅助工具。
