Xiao Ling-Rong, Zhao Gang, Zhang Pei, Tian Xian, Wu Xiao-Xue, Li Jun-Ru, Liu Si-Yan, Wu Hong-Mei
Harbin Medical University, Daqing, China.
Maternity and Child Healthcare Hospital, Nanshan, China.
J Atten Disord. 2025 Feb;29(3):155-164. doi: 10.1177/10870547241285971. Epub 2024 Sep 29.
Adolescent-specific ADHD self-report screening measures can greatly increase the likelihood of correct diagnosis and timely treatment of ADHD in adolescents. This study provides preliminary evidence for evaluating the reliability and validity of the Adult ADHD Self-Report Scale-Revised (ASRS-R) in a school-based sample of Chinese adolescents.
The ASRS-R and the Strengths and Difficulties Questionnaire (SDQ) were administered to 867 adolescents aged 12 to 16 years ( = 13.08 years). Construct validity was assessed using correlation analysis of the ASRS-R with the SDQ. Moreover, confirmatory factor analysis (CFA), internal consistency, retest reliability, and measurement invariance of the scales were examined by gender.
CFA showed a two-dimensional factor structure of the ASRS-R, and the model fitted the data well (χ/ = 4.370, RMSEA = 0.062, TLI = 0.932, CFI = 0.940, GFI = 0.927, AGFI = 0.907, and SRMR = 0.038). The ASRS-R scale was invariant across gender and had satisfactory internal consistency (Cronbach's alpha = .934) and test-retest reliability (intraclass correlation coefficient = .874). The construct validity, as calculated using the SDQ, was also acceptable.
The ASRS-R can be a psychometrically reliable self-report instrument and provide preliminary support as a simple tool for identifying ADHD symptoms in Chinese adolescents. The findings provide evidence for extending the application of the ASRS, previously limited to adults, to the adolescent populations.
针对青少年的注意力缺陷多动障碍(ADHD)自我报告筛查措施可大幅提高青少年ADHD正确诊断和及时治疗的可能性。本研究为评估成人ADHD自我报告量表修订版(ASRS-R)在中国青少年学校样本中的信效度提供了初步证据。
对867名12至16岁(平均年龄=13.08岁)的青少年施测ASRS-R和长处与困难问卷(SDQ)。通过ASRS-R与SDQ的相关分析评估结构效度。此外,按性别检验量表的验证性因素分析(CFA)、内部一致性、重测信度和测量不变性。
CFA显示ASRS-R具有二维因素结构,模型与数据拟合良好(χ²/df = 4.370,RMSEA = 0.062,TLI = 0.932,CFI = 0.940,GFI = 0.927,AGFI = 0.907,SRMR = 0.038)。ASRS-R量表在性别间具有不变性,内部一致性良好(Cronbach's alpha = 0.934),重测信度较高(组内相关系数 = 0.874)。使用SDQ计算的结构效度也可接受。
ASRS-R可以是一种心理测量学上可靠的自我报告工具,并为作为识别中国青少年ADHD症状的简单工具提供初步支持。研究结果为将之前仅限于成人的ASRS应用扩展到青少年群体提供了证据。