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探究多动症青少年的学业问题行为。

Mapping the academic problem behaviors of adolescents with ADHD.

作者信息

Sibley Margaret H, Altszuler Amy R, Morrow Anne S, Merrill Brittany M

机构信息

Department of Psychiatry and Behavioral Health, Center for Children and Families, Florida International University.

Department of Psychology.

出版信息

Sch Psychol Q. 2014 Dec;29(4):422-437. doi: 10.1037/spq0000071. Epub 2014 Jun 16.

Abstract

This study possessed 2 aims: (a) to develop and validate a clinician-friendly measure of academic problem behavior that is relevant to the assessment of adolescents with attention deficit/hyperactivity disorder (ADHD) and (b) to better understand the cross-situational expression of academic problem behaviors displayed by these youth. Within a sample of 324 adolescents with the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision diagnosed ADHD (age M = 13.07, SD = 1.47), parent, teacher, and adolescent self-report versions of the Adolescent Academic Problems Checklist (AAPC) were administered and compared. Item prevalence rates, factorial validity, interrater agreement, internal consistency, and concurrent validity were evaluated. Findings indicated the value of the parent and teacher AAPC as a psychometrically valid measure of academic problems in adolescents with ADHD. Parents and teachers offered unique perspectives on the academic functioning of adolescents with ADHD, indicating the complementary roles of these informants in the assessment process. According to parent and teacher reports, adolescents with ADHD displayed problematic academic behaviors in multiple daily tasks, with time management and planning deficits appearing most pervasive. Adolescents with ADHD display heterogeneous academic problems that warrant detailed assessment prior to treatment. As a result, the AAPC may be a useful tool for clinicians and school staff conducting targeted assessments with these youth.

摘要

本研究有两个目的

(a)开发并验证一种便于临床医生使用的学术问题行为测量方法,该方法与评估患有注意力缺陷/多动障碍(ADHD)的青少年相关;(b)更好地理解这些青少年所表现出的学术问题行为的跨情境表达。在一个由324名符合《精神疾病诊断与统计手册》第四版修订版(DSM-IV-TR)诊断标准的ADHD青少年组成的样本中(年龄均值M = 13.07,标准差SD = 1.47),对青少年学术问题清单(AAPC)的家长、教师和青少年自我报告版本进行了施测并比较。评估了项目发生率、因素效度、评分者间一致性、内部一致性和同时效度。研究结果表明,家长和教师版AAPC对于测量ADHD青少年的学术问题具有心理测量学效度。家长和教师对ADHD青少年的学业功能提供了独特的视角,表明这些信息提供者在评估过程中具有互补作用。根据家长和教师的报告,ADHD青少年在多项日常任务中表现出有问题的学术行为,其中时间管理和计划缺陷最为普遍。ADHD青少年表现出异质性的学术问题,在治疗前需要进行详细评估。因此,AAPC可能是临床医生和学校工作人员对这些青少年进行针对性评估的有用工具。

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