Clinical and Research Programs in Pediatric Psychopharmacology and Adult ADHD, Massachusetts General Hospital, Boston, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
Clinical and Research Programs in Pediatric Psychopharmacology and Adult ADHD, Massachusetts General Hospital, Boston, MA, USA.
J Psychiatr Res. 2021 Jun;138:477-484. doi: 10.1016/j.jpsychires.2021.04.028. Epub 2021 Apr 30.
To examine the utility of the Child Behavior Checklist (CBCL) to aid in the identification of comorbid psychopathological conditions affecting referred youth with suspected ADHD prior to the evaluation. The CBCL is an easy-to-use assessment tool that may provide invaluable information regarding the severity and characteristics of the presenting complaints.
The sample included 332 youths consecutively referred to an ADHD program for the assessment of suspected ADHD. Parents completed the CBCL, parent-rated ADHD Self-Report Scale (ASRS), Social Responsiveness Scale (SRS), and Behavior Rating Inventory of Executive Function (BRIEF). Because of the established association between the CBCL Attention Problems scale and a structured diagnostic interview of ADHD, all youths analyzed had abnormal Attention Problems T-scores (≥60).
Seventy-six percent of youths with elevated Attention Problems T-scores had ≥3 additional abnormal CBCL scales, suggesting they were likely affected with multiple comorbid psychopathological conditions. Moreover, 44% had ≥1 CBCL clinical scale with a T-score more severe than their Attention Problems T-score, suggesting the putative comorbid condition was more severe than the ADHD symptoms. Additional CBCL scale elevations were associated with more severe functional impairments as assessed by the ASRS, SRS, BRIEF, and CBCL competence scales.
The CBCL obtained before the clinical assessment identified high rates of comorbid psychopathology in youths referred for the assessment of ADHD. It provided detailed information about the types and severity of suspected psychopathological conditions impacting a particular youth, which is critical to guide the assessing clinician on likely differing needs of the affected child.
探讨儿童行为检查表（CBCL）在评估疑似 ADHD 青少年之前辅助识别共病精神病理学状况的效用。CBCL 是一种易于使用的评估工具，可提供有关呈现症状严重程度和特征的宝贵信息。
该样本包括 332 名连续被转介到 ADHD 项目进行疑似 ADHD 评估的青少年。父母完成了 CBCL、父母评定 ADHD 自评量表（ASRS）、社会反应量表（SRS）和行为评定量表的执行功能（BRIEF）。由于 CBCL 注意力问题量表与 ADHD 的结构化诊断访谈之间存在既定关联，因此分析的所有青少年的注意力问题 T 分数（≥60）均异常。
76%的注意力问题 T 分数升高的青少年有≥3 个额外的异常 CBCL 量表，表明他们可能患有多种共病精神病理学状况。此外，44%的青少年有≥1 个 CBCL 临床量表的 T 分数高于其注意力问题 T 分数，表明假定的共病状况比 ADHD 症状更严重。额外的 CBCL 量表升高与 ASRS、SRS、BRIEF 和 CBCL 能力量表评估的更严重的功能障碍相关。
在临床评估之前获得的 CBCL 确定了被转介评估 ADHD 的青少年共病精神病理学的高发生率。它提供了有关影响特定青少年的疑似精神病理学状况的类型和严重程度的详细信息，这对于指导评估临床医生了解受影响儿童的不同需求至关重要。
