Ise Elena, Görtz-Dorten Anja, Döpfner Manfred
Department of Child and Adolescent Psychiatry and Psychotherapy, Medical Faculty, University of Cologne, Cologne, Germany.
Psychopathology. 2014;47(5):312-8. doi: 10.1159/000362373. Epub 2014 Jul 3.
BACKGROUND/AIMS: It is recommended to use information from multiple informants when making diagnostic decisions concerning oppositional defiant disorder (ODD) and conduct disorder (CD). The purpose of this study was to investigate the reliability and validity of teacher-rated symptoms of ODD and CD in a clinical sample.
The sample comprised 421 children (84% boys; 6-17 years) diagnosed with ODD, CD, and/or attention deficit hyperactivity disorder (ADHD). Teachers completed a standardized ODD/CD symptom rating scale and the Teacher Report Form (TRF).
The reliability (internal consistency) of the symptom rating scale was high (α = 0.90). Convergent and divergent validity were demonstrated by substantial correlations with similar TRF syndrome scales and low-to-moderate correlations with dissimilar TRF scales. Discriminant validity was shown by the ability of the symptom rating scale to differentiate between children with ODD/CD and those with ADHD. Factorial validity was demonstrated by principal component analysis, which produced a two-factor solution that is largely consistent with the two-dimensional model of ODD and CD proposed by the Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV-TR, although some CD symptoms representing aggressive behavior loaded on the ODD dimension.
These findings suggest that DSM-IV-TR-based teacher rating scales are useful instruments for assessing disruptive behavior problems in children and adolescents.
背景/目的：在做出有关对立违抗障碍（ODD）和品行障碍（CD）的诊断决策时，建议使用来自多个信息提供者的信息。本研究的目的是调查临床样本中教师评定的ODD和CD症状的信度和效度。
样本包括421名被诊断为ODD、CD和/或注意力缺陷多动障碍（ADHD）的儿童（84%为男孩；6 - 17岁）。教师完成了标准化的ODD/CD症状评定量表和教师报告表（TRF）。
症状评定量表的信度（内部一致性）较高（α = 0.90）。通过与类似的TRF综合征量表的显著相关性以及与不同的TRF量表的低至中度相关性，证明了聚合效度和区分效度。症状评定量表能够区分患有ODD/CD的儿童和患有ADHD的儿童，从而显示出判别效度。主成分分析证明了因子效度，该分析产生了一个双因素解决方案，在很大程度上与《精神疾病诊断与统计手册》（DSM）-IV-TR提出的ODD和CD的二维模型一致，尽管一些代表攻击行为的CD症状加载在ODD维度上。
这些发现表明，基于DSM-IV-TR的教师评定量表是评估儿童和青少年破坏性行为问题的有用工具。
