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使用儿童行为检查表(CBCL)独特概况评估注意缺陷多动障碍(ADHD)中情绪自我调节不足:意大利研究中的重复验证

Deficient Emotional Self-Regulation in ADHD Assessed Using a Unique Profile of the Child Behavior Checklist (CBCL): Replication in an Italian Study.

作者信息

Donfrancesco R, Innocenzi M, Marano A, Biederman J

机构信息

ASL RM B Sandro Pertini Hospital Rome, Italy.

ASL RM B Rome, Italy.

出版信息

J Atten Disord. 2015 Oct;19(10):895-900. doi: 10.1177/1087054712462884. Epub 2012 Dec 4.

Abstract

OBJECTIVE

A unique profile of the empirically derived Child Behavior Checklist-anxious/depressed, attention, and aggression-deficient emotional self-regulation (CBCL-AAA-DESR profile: ≥180 and ≤210) may be used to identify a sizable minority of children with ADHD with associated DESR. The main aim of this study was to replicate these findings in an Italian sample.

METHOD

The sample consisted of 358 children and teenagers aged 6 to 17 years of both sexes with (n = 190) and without a diagnosis of ADHD (n = 168).

RESULTS

In all, 40.0% of children with ADHD had a positive CBCL-DESR profile compared with 3.5% of controls. Receiver-operating characteristic analysis showed that the CBCL-DESR profile cut-off (sensitivity = 97.33, specificity = 79.66, criterion ≥179, ≤210) discriminated the two subsamples.

CONCLUSION

The findings replicate previous results highlighting the utility of the CBCL as a means of identifying DESR in children with ADHD.

摘要

目的

通过实证得出的儿童行为量表(CBCL)的一种独特特征——焦虑/抑郁、注意力和攻击性不足的情绪自我调节(CBCL-AAA-DESR特征:≥180且≤210),可用于识别相当一部分患有注意缺陷多动障碍(ADHD)且伴有情绪自我调节缺陷(DESR)的儿童。本研究的主要目的是在意大利样本中重复这些发现。

方法

样本包括358名6至17岁的儿童和青少年,其中190名被诊断患有ADHD,168名未被诊断患有ADHD。

结果

总体而言,40.0%的ADHD儿童具有阳性CBCL-DESR特征,而对照组这一比例为3.5%。受试者工作特征分析表明,CBCL-DESR特征临界值(敏感性=97.33,特异性=79.66,标准≥179,≤210)能够区分这两个子样本。

结论

研究结果重复了先前的结果,突出了CBCL作为识别ADHD儿童DESR的一种手段的效用。

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