基于家长的多动症诊断与基于教师的多动症诊断一样准确。
Parent-based diagnosis of ADHD is as accurate as a teacher-based diagnosis of ADHD.
作者信息
Bied Adam, Biederman Joseph, Faraone Stephen
机构信息
a Departments of Psychiatry and of Neuroscience and Physiology , SUNY Upstate Medical University , Syracuse , NY , USA.
b Department of Pediatric Psychopharmacology , Massachusetts General Hospital , Boston , MA , USA.
出版信息
Postgrad Med. 2017 Apr;129(3):375-381. doi: 10.1080/00325481.2017.1288064. Epub 2017 Mar 8.
OBJECTIVE
To review the literature evaluating the psychometric properties of parent and teacher informants relative to a gold-standard ADHD diagnosis in pediatric populations.
METHOD
We included studies that included both a parent and teacher informant, a gold-standard diagnosis, and diagnostic accuracy metrics. Potential confounds were evaluated. We also assessed the 'OR' and the 'AND' rules for combining informant reports.
RESULTS
Eight articles met inclusion criteria. The diagnostic accuracy for predicting gold standard ADHD diagnoses did not differ between parents and teachers. Sample size, sample type, participant drop-out, participant age, participant gender, geographic area of the study, and date of study publication were assessed as potential confounds.
CONCLUSION
Parent and teachers both yielded moderate to good diagnostic accuracy for ADHD diagnoses. Parent reports were statistically indistinguishable from those of teachers. The predictive features of the 'OR' and 'AND' rules are useful in evaluating approaches to better integrating information from these informants.
目的
回顾评估父母和教师提供信息者相对于儿科人群中多动症金标准诊断的心理测量特性的文献。
方法
我们纳入了包括父母和教师提供信息者、金标准诊断以及诊断准确性指标的研究。对潜在的混杂因素进行了评估。我们还评估了合并提供信息者报告的“或”和“与”规则。
结果
八篇文章符合纳入标准。父母和教师在预测金标准多动症诊断方面的诊断准确性没有差异。样本量、样本类型、参与者退出情况、参与者年龄、参与者性别、研究的地理区域以及研究发表日期被评估为潜在的混杂因素。
结论
父母和教师对多动症诊断均产生了中等至良好的诊断准确性。父母的报告在统计学上与教师的报告没有区别。“或”和“与”规则的预测特征有助于评估更好整合这些提供信息者信息的方法。
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