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多动症评定量表:Conners量表和Davids简化量表的同时效度、信度及诊断决策

Rating scales for hyperactivity: concurrent validity, reliability, and decisions to label for the Conners and Davids Abbreviated Scales.

作者信息

Zentall S S, Barack R S

出版信息

J Abnorm Child Psychol. 1979 Jun;7(2):179-90. doi: 10.1007/BF00918898.

Abstract

Rating scales have become the instrument of choice in labeling and assessing change in behavior of hyperactive children. However, several criticisms have recently have levied against their use. The present investigation examined the concurrent validity, and inter- and intrarater reliability for the Abbreviated Teacer Questionnaire (ATQ, Conners, 1973) and the Rating Scales for Hyperkinesis (Davids, 1971). Sixteen teachers from two special and two regular schools (grades 1-4) rated 211 normal and 49 special children using both scales. High correlations were found suggesting excellent predictability between scales and considerable stability across time and rater. Lower scores on a subsequent rating relative to an initial rating were demonstrated, dependent on time between ratings but independent of (a) teacher expectation of treatment gains, (b) bias produced by rating selected children, and (c) whether children were hyperactive or normal. Use of initial and infrequent rating scores versus subsequent, closely spaced ratings was related to the rater's objective (e.g., diagnosis, treatment, or assessment).

摘要

评定量表已成为对多动症儿童的行为进行分类和评估其变化的首选工具。然而,最近人们对其使用提出了一些批评。本调查检验了简版教师问卷(ATQ,康纳斯,1973年)和多动症评定量表(戴维兹,1971年)的同时效度,以及评分者间和评分者内信度。来自两所特殊学校和两所普通学校(1至4年级)的16名教师使用这两种量表对211名正常儿童和49名特殊儿童进行了评分。结果发现,两种量表之间的相关性很高,表明量表之间具有出色的可预测性,并且在时间和评分者之间具有相当的稳定性。相对于初始评分,后续评分的分数较低,这取决于两次评分之间的时间间隔,但与以下因素无关:(a)教师对治疗效果的期望;(b)对选定儿童进行评分产生的偏差;(c)儿童是多动症患者还是正常儿童。使用初始和不频繁的评分分数与后续间隔紧密的评分分数与评分者的目的(例如,诊断、治疗或评估)有关。

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