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首页> 外文期刊>Psychological assessment >Screening With an ADHD-Specific Rating Scale in Preschoolers: A Cross-Cultural Comparison of the Early Childhood Inventory-4
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Screening With an ADHD-Specific Rating Scale in Preschoolers: A Cross-Cultural Comparison of the Early Childhood Inventory-4

机译:学龄前儿童的ADHD特定评级规模筛选:早期儿童库存-4的跨文化比较

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The Early Childhood Inventory-4 (ECI-4) Hyperactivity-Impulsivity (HI) and Inattention (IA) subscales are screeners for attention-deficit/hyperactivity disorder (ADHD). There have been few studies of the screening properties of these subscales, particularly outside the United States. We investigated the classification accuracy of the parent and teacher versions of the HI and IA subscales and the cross-cultural validity of the cutoff values based on norms from a United States sample. The present study was part of the Norwegian Mother and Child Cohort Study. Parents and teachers rated boys (n = 332) and girls (n = 319) with the ECI-4 (mean Age 3.5 years). Interviewers who were blind to the ratings used the Preschool Age Psychiatric Assessment Interview to assign ADHD diagnoses. The ECI-4 HI and IA subscales showed acceptable accuracy in identifying ADHD in boys and girls (areas under the curve ranged from .67 to .85). In a multivariate regression analysis, the parent and teacher HI subscale scores significantly contributed to ADHD identification, but not the IA subscale scores. To achieve the necessary sensitivity to detect children with ADHD, lower cutoff levels than those specified by the United States ECI-4 norms were needed. For screening purposes, the parent and teacher ECI-4 showed acceptable accuracy in identifying preschoolers at risk for ADHD, and it may be sufficient to use the HI subscale scores. The suggested cutoff values provided by the United States ECI-4 norms had limited cross-cultural validity.
机译:儿童早期库存-4(ECI-4)多动 - 冲动(HI)和疏忽(IA)分量是注意力缺陷/多动障碍(ADHD)的筛选者。对这些分量的筛查特性有很少的研究,特别是在美国。我们调查了HI和IA子级的父母和教师版本的分类准确性以及根据美国样本的规范的截止值的跨文化有效性。本研究是挪威母亲和儿童队列研究的一部分。父母和教师评定的男孩(n = 332)和女孩(n = 319),ECI-4(平均年龄3.5岁)。对评级视而不见的采访者使用学龄前的年龄精神评估访谈来分配ADHD诊断。 ECI-4 HI和IA子系统在识别男孩和女孩(曲线下的区域范围为0.67至0.85)时表现出可接受的准确性。在多变量回归分析中,父母和教师Hi eSubale评分明显促成了ADHD识别,但不是IA子级分数。为了达到发现具有ADHD的儿童的必要敏感性,需要低于美国ECI-4规范的截止水平。为了筛选目的,父母和教师ECI-4在识别ADHD风险的识别学龄前儿童方面表现出可接受的准确性,并且可以使用HI亚电视评分。美国ECI-4规范提供的建议的截止值有限的跨文化有效性。

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