1CASA, New York, NY, USA.
J Atten Disord. 2014 Apr;18(3):212-25. doi: 10.1177/1087054712443160. Epub 2012 Apr 27.
This study investigated adolescent and caregiver reports of ADHD symptoms in a sample of clinically referred inner-city adolescents.
Participants (N = 168) included youth ages 12-18 (54% male, 98% ethnic minority) and their caregivers who each completed diagnostic interviews of ADHD symptoms and assessments of perceived need for ADHD treatment and correlated behavior problems.
Informants showed poor agreement on DSM-IV diagnostic categories and also dimensional scales, Inattention/Disorganization (I/D) and Hyperactivity/Impulsivity (H/I). Both caregiver and adolescent reports of I/D symptoms, but not H/I symptoms, were related to perceived need for ADHD treatment. Caregiver reports were linked to behavioral correlates typically associated with ADHD: I/D symptoms correlated with planning/organization and socioemotional deficits, and H/I symptoms correlated with externalizing and behavior regulation deficits. In contrast, adolescent reports of I/D were related to internalizing and externalizing problems, and their reports of H/I correlated with externalizing only. Few gender effects were found.
Study results underscore the developmental salience of I/D symptoms and have implications for ADHD diagnosis and treatment planning for adolescents.
本研究调查了临床转介的城市内青少年样本中青少年和照顾者对 ADHD 症状的报告。
参与者（N=168）包括年龄在 12-18 岁的青少年（54%为男性，98%为少数民族）及其照顾者，他们各自完成了 ADHD 症状的诊断访谈以及 ADHD 治疗需求和相关行为问题的评估。
报告者在 DSM-IV 诊断类别和维度量表（注意力不集中/组织障碍（I/D）和多动/冲动（H/I））上的一致性较差。照顾者和青少年报告的 I/D 症状，但不是 H/I 症状，与 ADHD 治疗需求相关。照顾者报告的 I/D 症状与计划/组织和社会情感缺陷相关，而 H/I 症状与外化和行为调节缺陷相关。相比之下，青少年报告的 I/D 与内化和外化问题有关，而他们报告的 H/I 仅与外化有关。发现的性别影响很少。
研究结果强调了 I/D 症状的发展重要性，对青少年的 ADHD 诊断和治疗计划具有启示意义。
