Alexander Lisa, Liljequist Laura
George Washington University, DC, USA.
Murray State University, KY, USA
J Atten Disord. 2016 Apr;20(4):346-52. doi: 10.1177/1087054713478652. Epub 2013 Mar 15.
The present research examined the validity of self-report versus informant-report in relation to a performance-based indicator of adult ADHD.
Archival data from 118 participants (52 males, 66 females) were used to compare Conners' Adult ADHD Rating Scale-Self-Report: Long Format (CAARS-S:L) and Conners' Adult ADHD Rating Scale-Observer Report: Long Format (CAARS-O:L) with discrepancy scores calculated between the Wechsler Adult Intelligence Scale-Third Edition (WAIS-III) Verbal Comprehension Index - Working Memory Index (VCI - WMI) and Perceptual-Organizational Index - Processing Speed Index (POI - PSI) scaled scores.
Neither the self- nor informant-report formats of the CAARS were better predictors of discrepancies between WAIS-III Index scores. Intercorrelations between the CAARS-S:L and CAARS-O:L revealed generally higher correlations between the same scales of different formats and among scales measuring externally visible symptoms. Furthermore, regression analysis indicated that both the CAARS-S:L and CAARS-O:L clinical scales contributed a significant proportion of variance in WAIS-III VCI - WMI discrepancy scores (14.7% and 16.4%, respectively).
Results did not establish greater accuracy of self-report versus informant-report of ADHD symptomatology, rather demonstrate the need for multimodal assessment of ADHD in adults.
本研究考察了与成人注意力缺陷多动障碍(ADHD)基于表现的指标相关的自我报告与他人报告的有效性。
使用来自118名参与者(52名男性,66名女性)的档案数据,将康纳斯成人ADHD评定量表 - 自我报告:长格式(CAARS - S:L)和康纳斯成人ADHD评定量表 - 观察者报告:长格式(CAARS - O:L)与韦氏成人智力量表第三版(WAIS - III)言语理解指数 - 工作记忆指数(VCI - WMI)和知觉组织指数 - 加工速度指数(POI - PSI)的量表分数之间计算的差异分数进行比较。
CAARS的自我报告和他人报告格式都不是WAIS - III指数分数差异的更好预测指标。CAARS - S:L和CAARS - O:L之间的相互关联表明,不同格式的相同量表之间以及测量外部可见症状的量表之间的相关性普遍较高。此外,回归分析表明,CAARS - S:L和CAARS - O:L临床量表在WAIS - III VCI - WMI差异分数中都贡献了很大比例的方差(分别为14.7%和16.4%)。
结果并未确定ADHD症状学的自我报告比他人报告具有更高的准确性,而是表明需要对成人ADHD进行多模式评估。