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成人注意缺陷多动障碍(ADHD)的评估:成人注意力缺陷多动障碍(ADHD)评定量表的最新综述。

Assessing Adult ADHD: An Updated Review of Rating Scales for Adult Attention Deficit Hyperactivity Disorder (ADHD).

机构信息

Department of Clinical Psychology, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India.

Department of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, India.

出版信息

J Atten Disord. 2024 May;28(7):1045-1062. doi: 10.1177/10870547241226654. Epub 2024 Feb 18.

Abstract

METHOD

Scholarly articles on adult ADHD between 1996 and 2022 were reviewed using the PRISMA guidelines. ADHD rating scales with multiple citations were selected and their psychometric properties and symptom coverage were analyzed.

RESULTS

Ten rating scales, with sound psychometric properties, were identified. Out of those reviewed two (BADDS and BAARS-IV) load on the inattentive domain of ADHD, while the rest focus on a comprehensive assessment of ADHD. Only one scale (BARRS-IV) incorporates an assessment of functional impairment. Some scales though widely utilized have not been adequately examined for their sensitivity.

CONCLUSIONS

Rating scales are reliable and valid, in the assessment of adult ADHD. We present a review of recent scales, with an expanded focus, to help clinicians make informed decisions on diagnosis, identifying targets and planning interventions accordingly.

摘要

方法

使用 PRISMA 指南回顾了 1996 年至 2022 年期间关于成人 ADHD 的学术文章。选择了引用次数较多的 ADHD 评定量表,并分析了其心理测量学特性和症状涵盖范围。

结果

确定了十种具有良好心理测量学特性的评定量表。在审查的量表中,有两个(BADDS 和 BAARS-IV)与 ADHD 的注意力不集中域相关,而其余的则侧重于 ADHD 的全面评估。只有一个量表(BARRS-IV)包含对功能障碍的评估。有些量表虽然被广泛使用,但对其敏感性的评估还不够充分。

结论

评定量表在成人 ADHD 的评估中是可靠和有效的。我们对最近的量表进行了综述,重点更加广泛,以帮助临床医生做出明智的诊断决策,确定目标,并相应地规划干预措施。

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