Klos Simon, Thöne Ann-Kathrin, Döpfner Manfred, Görtz-Dorten Anja
Faculty of Medicine and University Hospital Cologne, School for Child and Adolescent Cognitive Behavior Therapy (AKiP), University of Cologne, Pohligstr. 9, 50969, Cologne, Germany.
Faculty of Medicine and University Hospital Cologne, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Cologne, Robert-Koch-Str. 10, 50931, Cologne, Germany.
Child Psychiatry Hum Dev. 2024 Dec 11. doi: 10.1007/s10578-024-01802-2.
This study examined the psychometric properties of self-rated symptoms of oppositional defiant disorder (ODD) and conduct disorder (CD). We analyzed symptom ratings from a clinical outpatient sample of 658 adolescents aged 11;0-17;11 years diagnosed with ODD/CD and/or attention-deficit hyperactivity disorder. In two steps, we examined the factor structure of ODD models and an additional CD symptom dimension using confirmatory factor analysis (CFA) and exploratory structural equation modeling (ESEM). Our preferred three-factor CFA and ESEM models (CFI = 0.937-0.975, TLI = 0.926-0.962, RMSEA = 0.049-0.068, SRMR = 0.045-0.070) demonstrated scalar measurement invariance across age groups (≥ 14;0 years) and metric measurement invariance across informants (parents, teachers). With exceptions, the self-rated symptom scales showed acceptable internal consistencies (α = 0.68-0.84). Convergent (r =.27-.65) and divergent validity (r =.13-.41) were supported using Achenbach's Youth Self Report Form. Our results provide implications for using self-rated ODD/CD symptoms in clinical practice and research.
本研究考察了对立违抗性障碍（ODD）和品行障碍（CD）自评症状的心理测量特性。我们分析了来自658名年龄在11岁0个月至17岁11个月的临床门诊青少年样本的症状评分，这些青少年被诊断患有ODD/CD和/或注意力缺陷多动障碍。我们分两步，使用验证性因素分析（CFA）和探索性结构方程建模（ESEM）来考察ODD模型的因素结构以及一个额外的CD症状维度。我们首选的三因素CFA和ESEM模型（CFI = 0.937 - 0.975，TLI = 0.926 - 0.962，RMSEA = 0.049 - 0.068，SRMR = 0.045 - 0.070）在各年龄组（≥14岁0个月）间显示出标量测量不变性，在不同信息提供者（父母、教师）间显示出度量测量不变性。除个别情况外，自评症状量表显示出可接受的内部一致性（α = 0.68 - 0.84）。使用阿肯巴克儿童行为量表青少年自评表支持了聚合效度（r = 0.27 - 0.65）和区分效度（r = 0.13 - 0.41）。我们的结果为在临床实践和研究中使用ODD/CD自评症状提供了启示。
