小儿获得性脑损伤后家长对心理和行为功能的评估
Parent assessment of psychological and behavioral functioning following pediatric acquired brain injury.
作者信息
Green M L, Foster M A, Morris M K, Muir J J, Morris R D
机构信息
Department of Psychology, Georgia State University, Atlanta 30303-3083, USA.
出版信息
J Pediatr Psychol. 1998 Oct;23(5):289-99. doi: 10.1093/jpepsy/23.5.289.
OBJECTIVE
Compare the measured prevalence rate of psychopathology and behavior disorders in 29 children with acquired brain injuries using four parent-report instruments.
METHOD
Two questionnaires, the Child Behavior Checklist (CBCL) and the Personality Inventory for Children (PIC-R) and two interview measures, the Diagnostic Interview for Children and Adolescents (DICA-R) and the Vineland Adaptive Behavior Scales (VABS), were completed following injury or diagnosis.
RESULTS
The DICA-R identified the highest prevalence of anxiety disorders and acting-out behaviors, whereas the CBCL identified the lowest prevalence. Opposite results were found within the domain of attentional problems. Interview measures were more concordant for global psychological impairment than were questionnaires.
DISCUSSION
Discordant findings across measures are discussed in terms of type of disorder, classification model, response format, item characteristics, and scaling.
目的
使用四种家长报告工具比较29名获得性脑损伤儿童的精神病理学和行为障碍的测量患病率。
方法
在受伤或确诊后，完成两份问卷，即儿童行为检查表（CBCL）和儿童个性量表（PIC-R），以及两份访谈测量工具，即儿童和青少年诊断访谈（DICA-R）和文兰适应行为量表（VABS）。
结果
DICA-R确定焦虑症和外显行为的患病率最高，而CBCL确定的患病率最低。在注意力问题领域发现了相反的结果。与问卷相比，访谈测量工具在整体心理损伤方面的一致性更高。
讨论
根据障碍类型、分类模型、反应格式、项目特征和量表对各测量工具之间不一致的结果进行了讨论。
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