儿童注意缺陷多动障碍（ADHD）严重程度评定量表的编制及其心理测量学特征

IF 3.2 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2025-05-26 DOI:10.1016/j.jpsychires.2025.05.067

Tianqi Wang , Zhongbi Peng , Zhaojing Tai , Hongzhu Deng , Mingjing Situ , Lan Zhang , Yi Wang , Hao Zhou

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引用次数: 0

摘要

虽然有几种量表评估儿童注意缺陷多动障碍（ADHD）的功能损害，但仍然缺乏专门设计的经过良好验证的措施来评估跨多个功能领域的损害严重程度。本研究旨在开发一种新的儿童ADHD严重程度评估量表，并对其信度和效度进行分析。方法在查阅相关文献的基础上，结合专家意见，建立初步的题库。探索性因素分析，以及内部一致性和信度检验。结果我们开发了一个专门为儿童ADHD设计的7项严重程度评估量表，该量表通过评估其功能影响，作为家长报告ADHD严重程度的简要衡量标准。验证性样本包括81名6-14岁被诊断患有ADHD儿童的父母。通过探索性因子分析，显示出单因子结构，表明量表的整体拟合优度。量表具有较强的内部一致性，Cronbach’s α为0.83。内容效度、收敛效度和区别效度均显著。结论小儿多动症7项严重程度评定量表是一种有效、可靠的评定工具。未来的研究应该使用这个量表来准确测量儿童多动症的严重程度。

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Development and psychometric properties of the severity assessment scale for pediatric attention-deficit hyperactivity disorder (ADHD)

Background

While several scales assess functional impairment in pediatric Attention-deficit hyperactivity disorder (ADHD), there remains a paucity of well-validated measures specifically designed to evaluate impairment severity across multiple functional domains. This study aims to develop a novel scale for evaluating the severity of ADHD in children and to analyses its reliability and validity.

Methods

A preliminary pool of items was created based on a literature review and some expert opinions. Exploratory factor analysis, along with internal consistency, and reliability tests were conducted.

Results

We developed a 7-item severity assessment scale specifically designed for pediatric ADHD, which serves as a brief parents-report measure of ADHD severity by evaluating its functional impacts. The confirmatory sample included 81 parents of children diagnosed with ADHD, aged 6–14 years. Through exploratory factor analysis revealed a one-factor structure, indicating the scale's overall goodness of fit. The scale exhibited strong internal consistency with a Cronbach's α of 0.83. Additionally, it demonstrated significant content validity, convergent validity, and discriminant validity.

Conclusion

These findings demonstrated that the 7-item severity assessment scale for pediatric ADHD is a valid and reliable instrument. Future research should employ this scale to accurately measure the severity of ADHD in children.

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;