干旱区生态环境知识资源中心(Arid): 儿童注意缺陷多动障碍的几种诊断方法探讨

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	儿童注意缺陷多动障碍的几种诊断方法探讨
其他题名	A study on diagnosing of attention deficit hyperactivity disorder in children by using different methods
	麦智广; 梁少霞
来源期刊	中国神经精神疾病杂志
ISSN	1002-0152
出版年	2002
卷号	28 期号:2 页码:90-92
中文摘要	目的探讨儿童注意缺陷多动障碍（ADHD）的诊断方法。方法对家长或教师认为多动的6-11岁儿童198例，采用美国《精神障碍和统计手册》第4版（DSM-Ⅳ）的标准，持续性注意测验（CAT）、Conners父母症状问卷（PSQ）和简明症状问卷（ASQ）分别作诊断。结果 4种方法诊断为ADHD的分别有110例，105例、105例和95例，相应占55.6,53.0,53.0和48.0。后三者分别与前者比较均无显著差异（X^2值分别为0.25,0.25和2.28,P均大于0.05）。CAT、PSQ和ASQ与DSM-Ⅳ诊断比较，分别有96.2,95.3和95.8为符合与基本符合。CAT的敏感性，特异性和准确性分别为91.8，95.5和93.4，PSQ的三项相应为90.9,94.3和92.4，ASQ的三项相应为77.3，88.6和82.3。结论 CAT和PSQ的敏感性，特异性和准确性分别相近或高于目前最常用的ASQ（CAT三项的X^2分别为8.91、2.79和11.47,PSQ三项的X^2分别为7.64、1.82和9.16,P均分别为小于0.05、大于0.05和小于0.05）。对DSM-Ⅳ诊断标准具有较客观的补充作用。值得试用至推广应用。
英文摘要	Objective To explore diagnostic methods of attention deficit hyperaclivity disorder (ADHD) in children. Meth-ods 198 oases of "hyperactivity child" considered by their parents or teachers, aged from 6 to 11 years, were examined with DSM-IV, continuous attention task (CAT), parent symptom Questionnaire (PSQ) and abstract symptom questionnaire (ASQ). Re-sults 110 cases (55.6%), 105 cases (53.0%), 105 cases (53.0%) and 95 cases (48.0%) were diagnosed as ADHD by the four methods respectively. There were no significant difference in the diagnosis among four methods (chi~2 = 0.25, 0.25, 2.28; P > 0.05). 96.2%, 95.3% and 95.8% scoring of CAT, PSQ and ASQ corresponded with the diagnosis by DSM-IV respectively. The sensitivity, specificity and accuracy of CAT are 91.8%, 95.5% and 93.4%; that of PSQ are 90.0%, 94.3% and 92.4%; that of ASQ are 77.3%, 88.6% and 82.3 %. Conclusions The sensitivity, specificity and accuracy of CAT and PSQ are better than or the same as that of ASQ (compared with CAT, chi~2 = 8.97, 2.79 and 11.47; P < 0.05, >0.05 and <0.05; compared with PSQ, chi~2 = 7.64, 1.82 and 9.16, P < 0.05, >0.05and < 0.05) which are used frequently at the present. CAT and PSQ can be used in complement to DSM-IV and is worthy of recommendation.
中文关键词	注意缺陷多动障碍 ; 儿童 ; 诊断标准
英文关键词	attention deficit hyperactivity disorder (ADHD) children diagnosis
语种	中文
国家	中国
收录类别	CSCD
WOS类目	CLINICAL NEUROLOGY
WOS研究方向	Neurosciences & Neurology
CSCD记录号	CSCD:1108796
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/203697
作者单位	广东省佛山市第一人民医院儿科, 528000
推荐引用方式 GB/T 7714	麦智广,梁少霞. 儿童注意缺陷多动障碍的几种诊断方法探讨[J],2002,28(2):90-92.
APA	麦智广,&梁少霞.(2002).儿童注意缺陷多动障碍的几种诊断方法探讨.中国神经精神疾病杂志,28(2),90-92.
MLA	麦智广,et al."儿童注意缺陷多动障碍的几种诊断方法探讨".中国神经精神疾病杂志 28.2(2002):90-92.