兒童多動(dòng)癥行為家長(zhǎng)評(píng)定量表結(jié)構(gòu)效度初步分析6100字
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兒童多動(dòng)癥行為家長(zhǎng)評(píng)定量表結(jié)構(gòu)效度初步分析6100字
兒童多動(dòng)癥行為家長(zhǎng)評(píng)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(dòng)癥行為家長(zhǎng)評(píng)定量表。 方法 研究時(shí)間為2014年1月~2015年1月,根據(jù)現(xiàn)有的兒童行為評(píng)定問(wèn)卷,結(jié)合有關(guān)多動(dòng)癥診斷標(biāo)準(zhǔn)及臨床診治多動(dòng)癥經(jīng)驗(yàn),構(gòu)建新的多維度的多動(dòng)癥家長(zhǎng)評(píng)估量表,并進(jìn)行有關(guān)效度檢驗(yàn)。 結(jié)果 本次共發(fā)放問(wèn)卷130份,回收有效問(wèn)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(gè)條目, 抽取的10個(gè)成份可解釋51.14%的總方差,分別命名為注意穩(wěn)定性、沖動(dòng)性、自控力、多動(dòng)性、行為盲目性、既往史、品德問(wèn)題、沖突性、干擾性及規(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(duì)注意力缺陷多動(dòng)障礙進(jìn)行多維度行為領(lǐng)域評(píng)估,構(gòu)建的新量表包括10個(gè)維度,新量表的信效度需要進(jìn)一步驗(yàn)證。
畢業(yè)
[關(guān)鍵詞] 注意力缺陷多動(dòng)障礙;行為量表;心理評(píng)估;問(wèn)卷調(diào)查
[中圖分類(lèi)號(hào)] R749.94 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1673-9701(2015)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 relevant 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. 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, behavioral 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, (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 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(dòng)癥又稱(chēng)注意力缺陷多動(dòng)障礙(attention deficit hyperactivity disorder,ADHD),是兒童時(shí)期較為常見(jiàn)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(shí)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(wèn)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(shí)間持續(xù)久,對(duì)學(xué)習(xí)成績(jī)行為影響較大,并常伴有行為問(wèn)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(dòng)沖動(dòng)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(gè)百分位數(shù),便于臨床醫(yī)生診斷時(shí)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(yàn)證。
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