Sonnby Karin, Skordas Konstantinos, Olofsdotter Susanne, Vadlin Sofia, Nilsson Kent W, Ramklint Mia
Karin Sonnby, M.D., Ph.D., Centre for Clinical Research, Uppsala University, Västmanlands County Hospital , SE 721 89 Västerås , Sweden.
Nord J Psychiatry. 2015 Apr;69(3):216-23. doi: 10.3109/08039488.2014.968203. Epub 2014 Oct 28.
The World Health Organization Adult ADHD Self Report Scale (ASRS) is a widely used diagnostic tool for assessment of attention-deficit hyperactivity disorder (ADHD) symptoms in clinical psychiatry in Sweden. The ASRS consists of 18 questions, the first six of which can be used as a short screening version (ASRS-S). There is a version for adolescents-ASRS-Adolescent (ASRS-A)-and the corresponding screening version (ASRS-A-S), which has not been validated to date.
The aim was to validate the ASRS-A and the ASRS-A-S for use in adolescent clinical populations.
Adolescent psychiatric outpatients (n = 134, mean age 15 years, 40% boys) reported on the ASRS-A, and were interviewed with the Kiddie Schedule of Affective Disorders and Schizophrenia (K-SADS), a semi-structured interview, together with a parent.
Internal consistency was 0.79 for the ASRS-A-S and 0.92 for the ASRS-A (Cronbach's alpha). Internal consistency values were 0.79 and 0.87 for the inattention subscale, and 0.68 and 0.89 for the hyperactivity subscale, respectively. Concurrent validity values, measured with Spearman's correlation coefficient, between the total K-SADS ADHD symptom severity score and the sum of ASRS-A-S and ASRS-A total scores were 0.51 and 0.60, respectively. Psychometric properties of the ASRS-A-S and the ASRS-A were: sensitivity 74% and 79%; negative predictive value 81% and 84%; specificity 59% and 60%; and positive predictive value 49% and 51%, respectively. Both versions showed better properties for girls than for boys.
Both the ASRS-A-S and the ASRS-A showed promising psychometric properties for use in adolescent clinical populations.
世界卫生组织成人注意力缺陷多动障碍自评量表（ASRS）是瑞典临床精神病学中广泛用于评估注意力缺陷多动障碍（ADHD）症状的诊断工具。ASRS由18个问题组成，前六个问题可作为简短筛查版本（ASRS-S）。有一个青少年版本——ASRS-青少年版（ASRS-A）——以及相应的筛查版本（ASRS-A-S），该筛查版本至今尚未得到验证。
目的是验证ASRS-A和ASRS-A-S在青少年临床人群中的应用。
青少年精神科门诊患者（n = 134，平均年龄15岁，40%为男孩）报告了ASRS-A，并与家长一起接受了情感障碍和精神分裂症儿童访谈量表（K-SADS）的访谈，这是一种半结构化访谈。
ASRS-A-S的内部一致性为0.79，ASRS-A的内部一致性为0.92（Cronbach's alpha）。注意力不集中分量表的内部一致性值分别为0.79和0.87，多动分量表的内部一致性值分别为0.68和0.89。用斯皮尔曼相关系数衡量，K-SADS ADHD症状严重程度总分与ASRS-A-S和ASRS-A总分之和之间的同时效度值分别为0.51和0.60。ASRS-A-S和ASRS-A的心理测量学特性为：敏感性分别为74%和79%；阴性预测值分别为81%和84%；特异性分别为59%和60%；阳性预测值分别为49%和51%。两个版本对女孩的表现均优于男孩。
ASRS-A-S和ASRS-A在青少年临床人群中的应用均显示出有前景的心理测量学特性。
