Shin Min-Sup, Kim Bung-Nyun, Cho Minji, Jang Mirae, Shin Hanbyul, Do Ryemi, Park Hyungseo, Yoon Narae, Noh Gahye, Song Jae-Won, Ahn Yebin, Shin Jiyoon, Jang Soomin, Noh Eunjung, Lee Eunhwa
Department of Psychiatry, College of Medicine, Seoul National University, Seoul, Korea.
Biomedical Research Institute, Seoul National University, Seoul, Korea.
Soa Chongsonyon Chongsin Uihak. 2021 Apr 1;32(2):71-78. doi: 10.5765/jkacap.200044.
This study was conducted to investigate the reliability and validity of the Korean version of the DSM-5 Level 2 Cross-Cutting Symptom Measure-inattention [Swanson, Nolan and Pelham, version IV (SNAP-IV)] and anger [Patient-Reported Outcome Measurement Information System (PROMIS) Anger] for parents and guardians of children aged 6-17 years.
We included 104 children and adolescents diagnosed with attention-deficit/hyperactivity disorder (ADHD), ADHD with anxiety and depression, depressive disorder, anxiety disorder, and tic disorder with somatic symptoms (ADHD=41, depression=9, anxiety=14, ADHD+anxious depression=11, tic+somatic symptoms=29). Their ages ranged from 8 years to 15 years. The participants' mothers completed the SNAP-IV, PROMIS Anger scale, Korean version of the IOWA Conners Rating Scale (K-IOWA), and Korean ADHD Rating Scale (K-ARS) so that the reliability and validity of the SNAP-IV and PROMIS Anger scales, which are DSM-5 scales for assessing inattention and anger of children and adolescents, could be examined.
The reliability coefficient of SNAP-IV (Cronbach's α) was 0.94. The correlation coefficients between SNAP-IV, K-IOWA inattention, and K-ARS inattention scores ranged from 0.73 to 0.86. The mean SNAP-IV scores of the ADHD and the ADHD+anxious depression groups were significantly higher than those of the anxiety and the tic+somatic symptoms groups. The reliability coefficient of the PROMIS Anger was 0.91. The correlation coefficient between PROMIS Anger and K-IOWA oppositional/defiant scores was 0.75. The PROMIS Anger mean score of the ADHD+anxious depression group tended to be higher than that of the other groups.
These results suggest that the Korean version of the DSM-5 Level 2 Cross-Cutting Symptom Measure-inattention and anger for parent and guardian of child age 6-17 might be a reliable and valid test and may be useful for screening children and adolescents with ADHD.
本研究旨在调查《精神疾病诊断与统计手册》第5版第2级交叉症状测量中文版（注意力不集中[斯旺森、诺兰和佩勒姆第4版（SNAP-IV）]）以及愤怒[患者报告结果测量信息系统（PROMIS）愤怒量表]对6至17岁儿童的父母及监护人的可靠性和有效性。
我们纳入了104名被诊断患有注意力缺陷多动障碍（ADHD）、伴有焦虑和抑郁的ADHD、抑郁症、焦虑症以及伴有躯体症状的抽动障碍的儿童和青少年（ADHD = 41例，抑郁症 = 9例，焦虑症 = 14例，ADHD + 焦虑抑郁 = 11例，抽动 + 躯体症状 = 29例）。他们的年龄在8岁至15岁之间。参与者的母亲完成了SNAP-IV、PROMIS愤怒量表、中文版爱荷华康纳斯评定量表（K-IOWA）以及韩国ADHD评定量表（K-ARS），以便检验SNAP-IV和PROMIS愤怒量表（这两个量表是用于评估儿童和青少年注意力不集中和愤怒的《精神疾病诊断与统计手册》第5版量表）的可靠性和有效性。
SNAP-IV的信度系数（克朗巴哈α系数）为0.94。SNAP-IV、K-IOWA注意力不集中得分以及K-ARS注意力不集中得分之间的相关系数在0.73至0.86之间。ADHD组和ADHD + 焦虑抑郁组的SNAP-IV平均得分显著高于焦虑症组和抽动 + 躯体症状组。PROMIS愤怒量表的信度系数为0.91。PROMIS愤怒量表得分与K-IOWA对立违抗得分之间的相关系数为0.75。ADHD + 焦虑抑郁组的PROMIS愤怒量表平均得分往往高于其他组。
这些结果表明，《精神疾病诊断与统计手册》第5版第2级交叉症状测量中文版用于6至17岁儿童父母及监护人的注意力不集中和愤怒测量可能是一项可靠且有效的测试，可能有助于筛查患有ADHD的儿童和青少年。
