Wong C K
Department of Psychiatry, Faculty of Medicine, Chinese University of Hong Kong.
Acta Psychiatr Scand. 1988 Jul;78(1):11-7. doi: 10.1111/j.1600-0447.1988.tb06295.x.
This is the second of two papers about the Rutter Scales A2 and B2 among Chinese children in Hong Kong. A consecutive series of patients (n = 124) suffering from emotional and conduct disorders is compared with two control groups. Similarities and differences were found when compared with Rutter's original work. In particular, not all the items could differentiate between patients and controls. But with total scores constructed according to local standards the combined sensitivity of both Scales was highly satisfactory (96% for boys and 93% for girls). No combined specificity was available owing to the design of the study, but the respective value for individual Scales was satisfactory (using optimal cut-off points the lowest specificity was 74% for Scale A2 in boys). Their discriminative power for conduct and emotional disorders was good except in the case of A2 with emotionally disordered girls where only 13% of the cases were correctly identified. Again except A2 in girls the compositions of the anti-social and neurotic subscores of both Scales among Chinese children were similar to that for English children. It appears that these two simple Scales do have important potentials among Chinese children.
这是关于香港中国儿童的拉特量表A2和B2的两篇论文中的第二篇。将一系列连续的(n = 124)患有情绪和行为障碍的患者与两个对照组进行比较。与拉特最初的研究相比,发现了异同之处。特别是,并非所有项目都能区分患者和对照组。但根据当地标准构建总分时,两个量表的综合敏感性非常令人满意(男孩为96%,女孩为93%)。由于研究设计,没有综合特异性,但各量表的各自值是令人满意的(使用最佳临界点,男孩中量表A2的最低特异性为74%)。它们对行为和情绪障碍的辨别力良好,除了量表A2对患有情绪障碍的女孩,只有13%的病例被正确识别。同样,除了女孩中的量表A2,中国儿童中两个量表的反社会和神经症子分数的构成与英国儿童相似。看来这两个简单的量表在中国儿童中确实有重要的潜力。