Biederman J, Faraone S V, Doyle A, Lehman B K, Kraus I, Perrin J, Tsuang M T
Pediatric Psychopharmacology Unit, Massachusetts General Hospital, Boston 02114.
J Child Psychol Psychiatry. 1993 Oct;34(7):1241-51. doi: 10.1111/j.1469-7610.1993.tb01785.x.
We evaluated the convergence of CBCL scales with the diagnosis of ADHD and comorbid disorders in 133 ADHD and 118 normal control boys, aged 6-17 years old. We evaluated the strength of association between each CBCL scale and structured-interview derived diagnoses with Total Predictive Value (TPV) and the odds-ratio (OR). Excellent convergence was found between the CBCL Attention Problems scale with the diagnosis of ADHD, between the Delinquent Behavior scale and the diagnosis of CD, and between the Anxiety/Depression scale and the diagnoses of Anxiety Disorders. These findings indicate that the CBCL could serve as a rapid and useful screening instrument to identify comorbid and non-comorbid cases of ADHD.
我们评估了133名6至17岁患注意力缺陷多动障碍(ADHD)的男孩和118名正常对照男孩中,儿童行为检查表(CBCL)量表与ADHD诊断及共病障碍的一致性。我们用总预测值(TPV)和优势比(OR)评估了每个CBCL量表与结构化访谈得出的诊断之间的关联强度。发现CBCL注意力问题量表与ADHD诊断之间、犯罪行为量表与对立违抗性障碍(CD)诊断之间、焦虑/抑郁量表与焦虑症诊断之间具有极佳的一致性。这些发现表明,CBCL可作为一种快速且有用的筛查工具,用于识别ADHD的共病和非共病病例。