Tonge B J, Einfeld S L, Krupinski J, Mackenzie A, McLaughlin M, Florio T, Nunn R J
Centre for Developmental Psychiatry, Monash Medical Centre, Clayton, Victoria, Australia.
J Intellect Disabil Res. 1996 Jun;40 ( Pt 3):198-207.
The Developmental Behaviour Checklist (DBC) was developed to assess psychopathology in children with intellectual disabilities. A cut-off point between "non-cases' and "cases' was determined by comparison of the total scores with psychiatric clinical assessment. This paper describes a method aimed at determining the types of psychiatric problems in those regarded as "cases'. Factor analysis with varimax rotation carried out on a sample of 1093 subjects extracted six factors. Standardized factor scores were calculated for each subject in a community sample (n = 450), and the only or the dominant positive score was determined for each of the "cases'. Over 80% of "cases' could be allotted to one condition. Only a small number had none, or three or more conditions. The same procedure was replicated on a validation sample (n = 448) with even more satisfactory results. Differences in the prevalence of the six conditions by sex, age and level of mental retardation were ascertained. The validity and clinical relevance of this method are discussed.
发育行为检查表（DBC）旨在评估智障儿童的精神病理学。通过将总分与精神科临床评估结果进行比较，确定了“非病例”和“病例”之间的分界点。本文描述了一种旨在确定被视为“病例”的儿童所患精神问题类型的方法。对1093名受试者的样本进行了方差最大化旋转的因子分析，提取出六个因子。为社区样本（n = 450）中的每个受试者计算标准化因子得分，并为每个“病例”确定唯一或占主导地位的阳性得分。超过80%的“病例”可归为一种情况。只有少数“病例”没有情况或有三种及以上情况。在一个验证样本（n = 448）上重复了相同的程序，结果更令人满意。确定了这六种情况在性别、年龄和智力迟钝程度方面的患病率差异。讨论了该方法的有效性和临床相关性。
