Heo Simyang, Kim Ji-Hae, Joung Yoo-Sook, Lee Won-Ik, Kim Joo-Jin, Sohn Seok Han, Chang Soon Ah
Department of Psychiatry, Samsung Medical Center, Sungkyunkwan University, School of Medicine, Seoul, Republic of Korea.
Maumnuri Clinic, Seoul, Republic of Korea.
Psychiatry Investig. 2018 Mar;15(3):325-329. doi: 10.30773/pi.2017.07.10. Epub 2018 Feb 28.
The aim of this study was to compare the performance of the 18-item Korean version of the World Health Organization adult attention-deficit/hyperactivity disorder self-report scale (ASRS) with the six-item ASRS Screener for predicting attention-deficit/hyperactivity disorder (ADHD) group.
The study sample included 51 adult patients with ADHD and 158 normal controls. All participants completed the ASRS and were interviewed individually using the Mini-International Neuropsychiatric Interview. Receiver operating characteristic (ROC) curves were used to compare the ASRS (ASRS-18) with the ASRS Screener (ASRS-6) in Korean samples.
The ADHD group had higher ASRS and ASRS subscale scores than those of the control group. ROC curve analysis revealed the ASRS was more powerful to predict ADHD group than the ASRS Screener, but the ASRS Screener also had strong concordance with clinician diagnoses.
This study shows that the 18-question ASRS outperforms the six-question ASRS Screener. However, the weighted Screener is also a valid and useful screening instrument both in epidemiological surveys and in clinical settings.
本研究旨在比较18项韩国版世界卫生组织成人注意力缺陷多动障碍自陈量表（ASRS）与6项ASRS筛查量表在预测注意力缺陷多动障碍（ADHD）组方面的表现。
研究样本包括51名成年ADHD患者和158名正常对照。所有参与者均完成了ASRS，并使用迷你国际神经精神访谈进行了个体访谈。采用受试者工作特征（ROC）曲线在韩国样本中比较ASRS（ASRS - 18）与ASRS筛查量表（ASRS - 6）。
ADHD组的ASRS及ASRS子量表得分高于对照组。ROC曲线分析显示，ASRS在预测ADHD组方面比ASRS筛查量表更有效，但ASRS筛查量表与临床医生诊断也有很强的一致性。
本研究表明，18题的ASRS比6题的ASRS筛查量表表现更优。然而，加权筛查量表在流行病学调查和临床环境中也是一种有效且有用的筛查工具。
