Grabemann Marco, Zimmermann Marco, Strunz Laura, Ebbert-Grabemann Monika, Scherbaum Norbert, Kis Bernhard, Mette Christian
Klinik für Psychiatrie und Psychotherapie, Medizinische Fakultät, LVR-Klinikum Essen.
Klinik für Psychiatrie und Psychotherapie, Universitätsmedizin Göttingen.
Psychiatr Prax. 2017 May;44(4):221-227. doi: 10.1055/s-0043-100714. Epub 2017 Mar 23.
Diagnosing Attention-Deficit-Hyperactivity Disorder (ADHD) in adults requires that ADHD has already been present in childhood. However, recall of ADHD-symptoms in childhood is fallible, for example influenced by mood. Furthermore, diagnostics need a procedure to handle oblivion and judgment biases. The Essen-Interview-for-school-days-related-biography (EIS-B) addresses these problems and offers a tool for retrospectively diagnosing childhood ADHD in adults. 36 patients with ADHD, 27 patients with depression or adjustment disorders and 39 healthy controls were included in the pilot study. All participants were comparable regarding age and gender. Internal consistency varied between α = 0.58 and α = 0.97, split-half-reliability was = 0.98, inter-rater-reliability yielded = 0.66. Retest-reliability varied between = 0.40 and = 0.88. Sensitivity was 82 %. Specificity yielded 100 %. The results indicate that EIS-B is a reliable and valid interview to retrospectively elucidate symptoms of childhood ADHD in adult patients. Further studies should aim for replication of our results using a larger sample size.
诊断成人注意力缺陷多动障碍（ADHD）需要该病症在童年时期就已存在。然而，对童年时期ADHD症状的回忆可能存在错误，例如会受到情绪的影响。此外，诊断需要一种方法来处理遗忘和判断偏差问题。埃森与上学日相关经历访谈（EIS - B）解决了这些问题，并提供了一种用于回顾性诊断成年患者童年ADHD的工具。在这项初步研究中纳入了36名ADHD患者、27名患有抑郁症或适应障碍的患者以及39名健康对照者。所有参与者在年龄和性别方面具有可比性。内部一致性在α = 0.58至α = 0.97之间变化，分半信度为 = 0.98，评分者间信度为 = 0.66。重测信度在 = 0.40至 = 0.88之间变化。敏感性为82%。特异性为100%。结果表明，EIS - B是一种可靠且有效的访谈工具，可用于回顾性阐明成年患者童年ADHD的症状。进一步的研究应以更大样本量重复我们的研究结果为目标。
