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一种性格特质框架阐明了儿童注意力问题在访谈测量与问卷调查测量之间的差异。

A dispositional trait framework elucidates differences between interview and questionnaire measurement of childhood attention problems.

作者信息

Herzhoff Kathrin, Tackett Jennifer L, Martel Michelle M

机构信息

Department of Psychology, University of Houston.

出版信息

Psychol Assess. 2013 Dec;25(4):1079-90. doi: 10.1037/a0033008. Epub 2013 Jun 3.

Abstract

At present, no single attention-deficit/hyperactivity disorder (ADHD) measure completely and comprehensively captures all ADHD diagnostic criteria (Anastopoulos, 2001). This represents a notable limitation in the assessment of attention problems and suggests the need for research that reconciles differences in information across measures purporting to measure the same or similar constructs. For example, by analyzing differences in measures in relation to a third construct, the third construct can provide an illuminative backdrop against which to view and ultimately reconcile differences between measures of the same attention problem construct. Thus, the purpose of the present study was to draw on a dispositional trait framework to illustrate differences in the ADHD construct assessed by 2 widely used attention problem measures. Parents of 346 children (51% girls) ranging in age from 7 to 12 years (M = 9.92 years, SD = 0.83 years) completed the Child Behavior Checklist (CBCL; Achenbach & Rescorla, 2001), a structured clinical interview based on the Diagnostic and Statistical Manual of Mental Disorders (4th ed., text rev.; DSM-IV-TR; American Psychiatric Association, 2000), and dispositional trait questionnaires about their child. Both low Conscientiousness/Effortful Control and high Neuroticism/Negative Affect showed strong, unique associations with the CBCL Attention Problem score, whereas only low Conscientiousness/Effortful Control showed a strong, unique association with DSM-IV-TR ADHD symptoms assessed by clinical interview. These discriminant dispositional trait correlates help us understand the nature of the attention problem construct as assessed by each measure, with important implications for the practice of cross-measure integration in both research and applied settings.

摘要

目前,没有单一的注意力缺陷多动障碍(ADHD)测量方法能完全且全面地涵盖所有ADHD诊断标准(阿纳斯托普洛斯,2001年)。这在注意力问题评估中是一个显著的局限性,表明需要开展研究来协调旨在测量相同或相似结构的不同测量方法之间的信息差异。例如,通过分析与第三个结构相关的测量方法之间的差异,第三个结构可以提供一个有启发性的背景,据此来观察并最终协调同一注意力问题结构的不同测量方法之间的差异。因此,本研究的目的是利用一种性格特质框架来说明由两种广泛使用的注意力问题测量方法所评估的ADHD结构的差异。346名年龄在7至12岁(平均年龄M = 9.92岁,标准差SD = 0.83岁)的儿童(51%为女孩)的家长完成了儿童行为量表(CBCL;阿肯巴克和雷斯考拉,2001年)、基于《精神障碍诊断与统计手册》(第4版,修订版;DSM-IV-TR;美国精神病学协会,2000年)的结构化临床访谈,以及关于他们孩子的性格特质问卷。低尽责性/努力控制和高神经质/消极情绪都与CBCL注意力问题得分呈现出强烈的、独特的关联,而只有低尽责性/努力控制与通过临床访谈评估的DSM-IV-TR ADHD症状呈现出强烈的、独特的关联。这些有区别的性格特质关联有助于我们理解每种测量方法所评估的注意力问题结构的本质,这对研究和应用环境中跨测量整合的实践具有重要意义。

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