Belmar Marta, Servera Mateu, Becker Stephen P, Burns G Leonard
1 Catholic University of the Maule, Talca, Chile.
2 University of the Balearic Islands, Palma, Spain.
J Atten Disord. 2017 Jun;21(8):667-672. doi: 10.1177/1087054715597470. Epub 2015 Aug 5.
To examine the validity of sluggish cognitive tempo (SCT) and ADHD-inattention (ADHD-IN) symptoms in children from Chile.
Mothers and teachers rated SCT, ADHD-IN, ADHD-hyperactivity/impulsivity (ADHD-HI), oppositional defiant disorder (ODD), anxiety, depression, academic impairment, social impairment, and peer rejection (teachers only) in 652 Chilean children (55% boys) aged 6 to 14 years.
For both mother and teacher ratings, the eight SCT symptoms and nine ADHD-IN symptoms showed substantial loadings on their respective factors (convergent validity) along with loadings close to zero on the alternative factor (discriminant validity). ADHD-IN showed a uniquely stronger relationship than SCT with ADHD-HI and ODD whereas SCT showed a uniquely stronger relationship than ADHD-IN with anxiety and depression. Although ADHD-IN uniquely predicted academic impairment and social difficulties, SCT did not.
This study provides the first evidence for the validity of SCT among children outside of North America or Western Europe.
检验智利儿童中认知速度迟缓(SCT)及注意力缺陷多动障碍-注意力不集中(ADHD-IN)症状的有效性。
母亲和教师对652名6至14岁的智利儿童(55%为男孩)的SCT、ADHD-IN、注意力缺陷多动障碍-多动/冲动(ADHD-HI)、对立违抗障碍(ODD)、焦虑、抑郁、学业损害、社交损害以及同伴排斥(仅教师评定)进行评分。
对于母亲和教师的评分,八项SCT症状和九项ADHD-IN症状在各自因素上有显著载荷(聚合效度),而在替代因素上的载荷接近零(区分效度)。ADHD-IN与ADHD-HI和ODD的关系比SCT独特地更强,而SCT与焦虑和抑郁的关系比ADHD-IN独特地更强。尽管ADHD-IN独特地预测了学业损害和社交困难,但SCT没有。
本研究为北美或西欧以外儿童中SCT的有效性提供了首个证据。