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[德国能力分析问卷(KANN):自闭症谱系障碍和/或注意力缺陷多动障碍的比较]

[The German Competence Analysis Questionnaire (KANN): Autism-spectrum-disorders and/or ADHD Compared].

作者信息

Suing Martina, Gollan Tobias, Schmidt Martin H, Petermann Franz, Sinzig Judith

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2014;63(8):666-84. doi: 10.13109/prkk.2014.63.8.666.

Abstract

The German Competence Analysis Questionnaire (KANN): Autism-spectrum-disorders and/or ADHD Compared. Due to the frequent comorbidity of autism spectrum disorders (ASD) and attention-deficit hyperactivity disorders (ADHD) the investigation of similarities and differences between these two syndromes has been the focus of research in recent years. The main objective of the present paper is to compare the three clinical groups "ASD", "ADHD" and "ASD+ADHD" as well as a control group on the basis of competencies relevant to everyday and social life by using the German Competence Analysis Questionnaire (Kompetenzanalyseverfahren, KANN). The KANN is an external assessment tool used to determine observable personal resources (competencies) in children and adolescents. A total of n = 205 children and adolescents under the care of child and youth welfare services are analyzed. The results show that the clinical group "ADHD" is superior to the groups "ASD" (in this case statistically significant) and "ASD+ADHD" at the KANN-scale "Leisure Behavior & Peer Groups" and "Independence in Everyday Life". The similar KANN-profiles of the two autistic groups do not support - contrary to the additionally collected data of behavior disorders (CBCL/4-18) - the hypothesis of an additive symptom effect within the meaning of the loss of competencies for the combined diagnoses group "ASD+ADHD". Furthermore, the ability of the KANN scales to differentiate between a clinical and a non-clinical child and youth welfare group underlines the validity of the KANN.

摘要

德国能力分析问卷(KANN):自闭症谱系障碍和/或注意力缺陷多动障碍的比较。由于自闭症谱系障碍(ASD)和注意力缺陷多动障碍(ADHD)经常共病,近年来这两种综合征之间异同的研究一直是研究重点。本文的主要目的是使用德国能力分析问卷(Kompetenzanalyseverfahren,KANN),在与日常生活和社会生活相关的能力基础上,比较“ASD”“ADHD”“ASD+ADHD”这三个临床组以及一个对照组。KANN是一种外部评估工具,用于确定儿童和青少年中可观察到的个人资源(能力)。对总共n = 205名受儿童和青少年福利服务机构照料的儿童和青少年进行了分析。结果表明,在KANN量表“休闲行为与同伴群体”和“日常生活中的独立性”方面,临床组“ADHD”优于“ASD”组(在这种情况下具有统计学显著性)和“ASD+ADHD”组。与行为障碍(CBCL/4 - 18)的额外收集数据相反,两个自闭症组相似的KANN概况不支持“ASD+ADHD”联合诊断组能力丧失意义上的叠加症状效应假说。此外,KANN量表区分临床和非临床儿童及青少年福利组的能力强调了KANN的有效性。

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