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回顾性评估儿童注意缺陷多动障碍(ADHD)症状:芬兰文版 Wender Utah 评定量表的判别效度。

Retrospective assessment of ADHD symptoms in childhood: discriminatory validity of Finnish translation of the Wender Utah Rating Scale.

机构信息

Institute of Behavioural Sciences, Division of Cognitive and Neuropsychology, University of Helsinki, Finland.

出版信息

J Atten Disord. 2012 Aug;16(6):449-59. doi: 10.1177/1087054710397801. Epub 2012 Jan 27.

Abstract

OBJECTIVE

To examine the discriminatory validity of the Wender Utah Rating Scale (WURS) and its five suggested subscales (Conduct Problems, Impulsivity Problems, Mood Difficulties, Inattention/Anxiety, Academic Concerns) in a Finnish sample.

METHOD

WURS was administered to 114 adults, aged 18 to 55 years. Participants with ADHD (n = 37) and dyslexia (n = 36) were compared with healthy controls (n = 41).

RESULTS

The ADHD group scored significantly higher than the control group on all subscales. Compared with the dyslexia group, the ADHD group did not differ in Mood Difficulties or Academic Concerns. Using the total score, the positive predictive value was .53 in this sample and only .21 when the prevalence of ADHD was taken into account.

CONCLUSION

Three out of five domains of WURS are reliable indicators of ADHD. Domains with low discriminatory power, low general prevalence of ADHD, and other developmental disorders within the population decrease the accuracy.

摘要

目的

在芬兰样本中检验 Wender Utah 评定量表(WURS)及其五个建议子量表(行为问题、冲动问题、情绪困难、注意力不集中/焦虑、学业问题)的区分效度。

方法

对 114 名年龄在 18 至 55 岁的成年人进行了 WURS 测试。将 ADHD(n = 37)和阅读障碍(n = 36)患者与健康对照组(n = 41)进行了比较。

结果

ADHD 组在所有子量表上的得分均明显高于对照组。与阅读障碍组相比,ADHD 组在情绪困难或学业问题上没有差异。使用总分,该样本的阳性预测值为 0.53,而当考虑到 ADHD 的流行率时,阳性预测值仅为 0.21。

结论

WURS 的五个领域中的三个是 ADHD 的可靠指标。在人群中,区分力低、ADHD 总体患病率低和其他发育障碍的领域降低了准确性。

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