一项关于注意缺陷多动障碍（ADHD）症状结构从学前到成年期发展变化的网络分析。
A network analysis of developmental change in ADHD symptom structure from preschool to adulthood.
作者信息
Martel Michelle M, Levinson Cheri A, Langer Julia K, Nigg Joel T
机构信息
Psychology Department, University of Kentucky.
Department of Psychiatry, Washington University in St. Louis.
出版信息
Clin Psychol Sci. 2016 Nov;4(6):988-1001. doi: 10.1177/2167702615618664. Epub 2016 Mar 4.
Abstract
Although there is substantial support for the validity of the diagnosis of ADHD, there is considerable disagreement about how to best capture developmental changes in the expression of ADHD symptomatology. The current paper examines the associations among the 18 individual ADHD symptoms using a novel network analysis approach, from preschool to adulthood. The 1,420 participants were grouped into four age brackets: Preschool (age 3-6, = 109), childhood (age 6-12, = 548), adolescence (age 13-17, = 357), and young adulthood (age 18-36, = 406). All participants completed a multi-stage, multi-informant diagnostic process, and self and informant symptom ratings were obtained. Network analysis indicated ADHD symptom structure became more differentiated over development. Two symptoms and appeared as central, or core, symptoms across all age groups. Thus, a small number of core symptoms may warrant extra weighting in future diagnostic systems.
摘要
尽管多动症诊断的有效性得到了大量支持，但对于如何最好地捕捉多动症症状表达中的发育变化，仍存在相当大的分歧。本文采用一种新颖的网络分析方法，研究了从学龄前到成年期这18种个体多动症症状之间的关联。1420名参与者被分为四个年龄组：学龄前（3至6岁，n = 109）、儿童期（6至12岁，n = 548）、青少年期（13至17岁，n = 357）和青年期（18至36岁，n = 406）。所有参与者都完成了一个多阶段、多 informant 的诊断过程，并获得了自我和 informant 的症状评分。网络分析表明，多动症症状结构在发育过程中变得更加分化。两种症状在所有年龄组中都表现为核心症状。因此，在未来的诊断系统中，少数核心症状可能需要额外加权。
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