兒童多動癥行為家長評定量表結(jié)構(gòu)效度初步分析6100字
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1、兒童多動癥行為家長評定量表結(jié)構(gòu)效度初步分析6100字 [摘要] 目的 構(gòu)建學(xué)齡兒童多動癥行為家長評定量表。 方法 研究時間為2014年1月~2015年1月,根據(jù)現(xiàn)有的兒童行為評定問卷,結(jié)合有關(guān)多動癥診斷標(biāo)準(zhǔn)及臨床診治多動癥經(jīng)驗,構(gòu)建新的多維度的多動癥家長評估量表,并進(jìn)行有關(guān)效度檢驗。 結(jié)果 本次共發(fā)放問卷130份,回收有效問卷127份,回收率97.69%。其中男63例,女64例;平均年齡(9.152.36)歲;新量表共80個條目, 抽取的10個成份可解釋51.14%的總方差,分別命名為注意穩(wěn)定性、沖動性、自控力、多動性、行為盲目性、既往史、品德問題、沖突性、干
2、擾性及規(guī)范性,分別賦予分值為18、9、11、8、9、5、6、3、6、3,得分分值為(7.241.97)、(1.240.23)、(3.130.85)、(1.410.15)、(1.010.12)、(0.300.06)、(0.520.19)、(0.110.01)、(1.870.45)、(0.130.01)。 結(jié)論 本研究針對注意力缺陷多動障礙進(jìn)行多維度行為領(lǐng)域評估,構(gòu)建的新量表包括10個維度,新量表的信效度需要進(jìn)一步驗證。 畢業(yè) [關(guān)鍵詞] 注意力缺陷多動障礙;行為量表;心理評估;問卷調(diào)查 [中圖分類號] R749.94 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1673-9701(201
3、5)32-0022-05 [Abstract] Objective To construct school children ADHD(attention deficit hyperactivity disorder) behavior parents rating scale. Methods The study time was from January 2014 to January 2015. According to the existing childrens behavior assessment questionnaire, combined with the relev
4、ant clinical diagnosis criteria and diagnostic and treatment experience of ADHD, a new multi-dimensional ADHD behavior parents rating scale was built, and the related validity inspection was conducted. Results 130 copies of questionnaires were distributed and 127 valid questionnaires were recovered.
5、 The recovery rate was 97.69%. There were 63 boys and 64 girls, average age of (9.152.36) years old. There were a total of 80 entries in the new scale, and the extracted 10 components could explain 51.14% of the total variance, named as attention stability, impulsive, self-control, hyperactivity, be
6、havioral blindness, conflicts, interference, past history, conduct problems and normalization, respectively, which given scores with 18 points, 9 points, 11 points, 8 points, 9 points,5 points, 6 points, 3 points, 6 points and 3 points, respectively, and scored (7.241.97) points, (1.240.23) points,
7、(3.130.85) points, (1.410.15) points, (1.010.12) points, (0.300.06) points, (0.520.19) points, (0.110.01)points, (1.87 0.45) points and (0.130.01) points, respectively. Conclusion This study is conducted for multi-dimensional assessment of attention deficit hyperactivity disorder behavior, to build
8、a new rating scale which includes 10 dimensions, but the reliability and validity of the new scale demand for further verification. [Key words] Attention deficit hyperactivity disorder; Behavior rating scale; Psychological assessments; Questionnaire 兒童多動癥又稱注意力缺陷多動障礙(attention deficit hyperacti
9、vity disorder,ADHD),是兒童時期較為常見的行為障礙。根據(jù)DSM-Ⅳ[1]編制成量表形式,為診斷提供量化指標(biāo)和有效信息[2,3]。神經(jīng)影像學(xué)研究已證實ADHD病理主要涉及額紋狀體腦網(wǎng)絡(luò),ADHD患兒在前額葉皮質(zhì)區(qū)發(fā)展較同齡孩子要延遲,涉及到認(rèn)知功能和行為表現(xiàn)的問題[4,5]。ADHD患兒的智力正常或基本正常,但學(xué)習(xí)、行為及情緒方面存在缺陷。ADHD發(fā)病時間持續(xù)久,對學(xué)習(xí)成績行為影響較大,并常伴有行為問題[6]。因此ADHD患兒的行為障礙涉及到多方面,除了注意力缺陷與多動沖動障礙外,自控力、抗干擾等方面均受影響。 此外,本研究初步給出了總量表分及分量表分的三個百分位數(shù),便
10、于臨床醫(yī)生診斷時進(jìn)行參考。由于本文僅討論了新量表的結(jié)構(gòu)效度,量表的其他信效度需要進(jìn)一步驗證。 [參考文獻(xiàn)] [1] American Psychiatric Association. Diagnostic and statisticalmannual of mental disorders[M]. 4th Edition(DSM-IV),Washington DC:American Psychiatric Association,2000:85-93. [2] Collett B,Ohan J,Myers K,et al. Ten -year review of rating
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