KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Department of Psychiatry, University of Oxford, UK.
J Atten Disord. 2020 Dec;24(14):2064-2071. doi: 10.1177/1087054717753064. Epub 2018 Feb 2.
We determined the reliability of The Kiddie-Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime (K-SADS-PL) for screening and diagnosing ADHD in children. K-SADS-PL was administered to 2,074 children in the community. Psychometric properties, factorial structure, and clinical validity of K-SADS-PL in screening or diagnosis of ADHD were examined. Internal consistency was excellent for items in the screening interview (Macdonald's Omega [ω] = 0.89; 95% confidence interval [CI] [0.87, 0.94]) and diagnostic supplement (ω = 0.95; 95% CI [0.92, 0.99]). The standardized coefficients for items in the screening interview were acceptable (0.59-0.85), while fit indices for single factorial structure reached acceptable levels. Screening items were associated with high sensitivity (97.8%; 95% CI [97.2, 98.5%]) and specificity (94.0%; 95% CI [93.0, 95.0%]) for diagnosis of ADHD in the supplement. The test-retest and interinformant reliability as measured by intraclass correlation coefficient was good for most of the items. This large study shows that K-SADS-PL can be reliably used to screen and diagnose ADHD in children in Kenya.
我们确定了儿童情感障碍和精神分裂症的 Kiddie-Schedule（K-SADS）-现病和终生版本（K-SADS-PL）用于筛查和诊断儿童注意缺陷多动障碍（ADHD）的可靠性。我们对社区中的 2074 名儿童进行了 K-SADS-PL 评估。我们检查了 K-SADS-PL 在筛查或诊断 ADHD 方面的心理测量学特性、因子结构和临床有效性。筛查访谈中项目的内部一致性非常好（MacDonald 的 Omega [ω] = 0.89；95%置信区间 [CI] [0.87, 0.94]）和诊断补充（ω = 0.95；95% CI [0.92, 0.99]）。筛查访谈中项目的标准化系数是可以接受的（0.59-0.85），而单一因子结构的拟合指数达到了可接受的水平。筛查项目与补充诊断中 ADHD 的高灵敏度（97.8%；95% CI [97.2, 98.5%]）和高特异性（94.0%；95% CI [93.0, 95.0%]）相关。大多数项目的测试重测和 informant 间信度（通过组内相关系数衡量）都很好。这项大型研究表明，K-SADS-PL 可用于可靠地筛查和诊断肯尼亚儿童的 ADHD。
