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首页> 外文期刊>Evidence-based practice in child and adolescent mental health. >Sex-Specific Norms for Diagnosing Attention-Deficit/Hyperactivity Disorder in Childhood: A Receiver Operating Characteristic (ROC) Analysis
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Sex-Specific Norms for Diagnosing Attention-Deficit/Hyperactivity Disorder in Childhood: A Receiver Operating Characteristic (ROC) Analysis

机译：诊断的性别规范注意缺陷/多动障碍童年:一个接收器的操作特点(中华民国)分析

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This study employed Receiver Operating Characteristic (ROC) analyses to identify optimal symptom count cutoffs for girls and boys with attention-deficit/hyperactivity disorder (ADHD). A nationally representative sample of parents of 1050 children (51.5% boys; 78.8% white; 84.2% non-Hispanic) ages 5 to 12 years old (M = 8.42, SD = 2.31) completed ratings of their children's ADHD symptoms, impairment and internalizing (i.e., depression and anxiety) and externalizing (i.e., oppositional defiant disorder and conduct disorder) problems. Results provided evidence for a sex-specific ADHD symptom cutoff for girls that was lower than the current symptom threshold required by the Diagnostic and Statistical Manual, Fifth Edition (DSM-5). Girls with four or more symptoms of inattention and/or hyperactivity/impulsivity experienced greater co-occurring psychopathology, including internalizing (i.e., depression, and anxiety) and externalizing (i.e., oppositional defiant disorder and conduct disorder) problems, compared to girls with average levels of ADHD. Compared to girls and boys with ADHD defined using DSM-5 symptom count criteria, girls in the sex-specific ADHD group manifested lower levels of internalizing and externalizing problems, although there was also some evidence for similar levels of oppositional defiant disorder and depression among these three groups. In contrast, the symptom cutoff identified using ROC analysis among boys was consistent with existing DSM-5 guidelines. These findings add to the growing evidence supporting the use of sex-specific norms in the diagnosis of ADHD in girls. Future work should seek to extend these results using a multi-method approach to the assessment of ADHD.
机译：本研究采用接收器的操作(中华民国)分析确定最优特征男孩和女孩的症状数被切断注意缺陷多动症(ADHD)。一个代表性的父母的1050名儿童(51.5%的男孩;非西班牙裔)年龄在5到12岁(M = 8.42,SD = 2.31)完成孩子的评级多动症的症状,损害和内化(例如,抑郁和焦虑)和外化(例如,对立违抗性障碍和行为障碍)问题。女孩的性别ADHD症状截止低于当前症状阈值所需的诊断和统计手册,第五版(第五版)。更多的注意力不集中的症状和/或多动/冲动有经验的大共病精神病理,包括内化(例如,抑郁和焦虑)外化(即对立违抗障碍、品行障碍)问题,相比女孩ADHD的平均水平。女孩和男孩患有ADHD定义使用dsm - 5症状数标准,女孩在性别ADHD组低水平的体现内化和外化的问题,虽然也有一些类似的证据对立违抗性障碍和水平抑郁症在这些三组。症状截止确认使用ROC分析在男孩与现有的第五版是相一致的指导方针。证据支持性别规范的使用在女孩ADHD的诊断。应该寻求延长这些结果使用吗多种方法评估的多动症。

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