成人注意力缺陷多动障碍（ADHD）的ADHD-SCL-90-R筛查量表的编制及心理测量学特性
Development and psychometric properties of the ADHD-SCL-90-R screening scale for adult ADHD.
作者信息
Abbass Karen, Corbisiero Salvatore, Stieglitz Rolf-Dieter
机构信息
Division of Clinical Psychology and Psychiatry, Department of Psychology, University of Basel, Basel, Switzerland.
Psychiatric Clinics, University of Basel, Basel, Switzerland.
出版信息
J Clin Psychol. 2021 Jun;77(6):1428-1442. doi: 10.1002/jclp.23088. Epub 2020 Nov 14.
OBJECTIVE
Adult attention-deficit/hyperactivity disorder (ADHD) is a prevalent disorder with serious impairments, but it often remains undetected. The aim of the study was to develop an ADHD screening scale from the Symptom Check-List-90-R (SCL-90-R) and describe its psychometric properties. The item selection was based on the ADHD-specific Conners' Adult ADHD Rating Scale (CAARS-S:L).
METHOD
In total, 412 subjects of an ADHD Special Consultations Unit were investigated, who completed the SCL-90-R, CAARS-S:L, and ADHD Self-Rating Behavior Questionnaire.
RESULTS
The ADHD-SCL-90-R Screening Scale consisted of 16 items with a four-factor structure, including Inattention/Memory Problems, Hyperactivity/Restlessness, Impulsivity/Emotional Lability, and Problems with Self-Concept. It showed excellent internal consistency (Cronbachs α = .90) and good convergent validity (r = .57-.59). Sensitivity was 78%, specificity was 56%, and the discriminatory power was acceptable (area under the curve = 0.74).
CONCLUSION
The newly developed ADHD-SCL-90-R Screening Scale showed good psychometric properties, and it has a versatile application in clinical practice.
目的
成人注意力缺陷多动障碍（ADHD）是一种普遍存在且有严重损害的疾病，但往往未被发现。本研究的目的是从症状自评量表90修订版（SCL - 90 - R）中开发一种ADHD筛查量表，并描述其心理测量学特性。项目选择基于ADHD特异性的成人多动症评定量表（CAARS - S:L）。
方法
共对412名ADHD专科咨询门诊的受试者进行了调查，他们完成了SCL - 90 - R、CAARS - S:L和ADHD自评行为问卷。
结果
ADHD - SCL - 90 - R筛查量表由16个项目组成，具有四因素结构，包括注意力不集中/记忆问题、多动/坐立不安、冲动/情绪不稳定和自我概念问题。它显示出良好的内部一致性（克朗巴哈α系数 = 0.90）和良好的收敛效度（r = 0.57 - 0.59）。敏感性为78%，特异性为56%，鉴别力可接受（曲线下面积 = 0.74）。
结论
新开发的ADHD - SCL - 90 - R筛查量表显示出良好的心理测量学特性，在临床实践中有广泛应用。
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