注意缺陷多动障碍自评量表修订版在8~14岁儿童中的信效度分析  

Reliability and validity analysis of the attention deficit hyperactivity disorder self-report scale-revised among children aged 8-14

作　　者：张培 肖玲蓉 田羡 赵刚 吴洪梅 Zhang Pei;Xiao Lingrong;Tian Xian;Zhao Gang;Wu Hongmei(School of Nursing,Daqing Campus,Harbin Medical University,Daqing 163000,China;Child Psychology Department,Shenzhen Nanshan District Maternal and Child Health Hospital,Shenzhen 518067,China)

机构地区：[1]哈尔滨医科大学大庆校区护理学院,大庆163000 [2]深圳市南山区妇幼保健院儿童心理科,深圳518067

出　　处：《中华行为医学与脑科学杂志》2025年第1期71-77,共7页Chinese Journal of Behavioral Medicine and Brain Science

基　　金：黑龙江省自然科学基金(LH2023H021);哈尔滨医科大学研究生科研和实践创新项目(YJSCX2023-297HYD)。

摘　　要：目的检验注意缺陷多动障碍自评量表修订版(ASRS-R)在中国8~14岁儿童中的信度与效度,为ASRS-R作为识别中国8~14岁儿童ADHD行为的工具提供初步证据。方法2023年10月,通过方便抽样选取深圳市5所小学的8~14岁的高年级小学生。采用ASRS-R、长处与困难问卷(SDQ)对被试进行施测。其中,样本1(n=1558)进行探索性因素分析与项目分析,样本2(n=1648)进行验证性因素分析、校标关联效度和信度检验,样本3(n=300)进行重测信度分析。采用SPSS 25.0和AMOS 23.0软件对数据进行项目分析、探索性因素分析、验证性因素分析、校标关联效度检验和信度检验。结果探索性因素分析显示KMO值为0.947,累积方差贡献率为41.061%,各条目载荷为0.454~0.697。验证性因素分析表明二因素模型拟合度良好(χ^(2)/df=3.355,CFI=0.959,TLI=0.952,RMSEA=0.038,SRMR=0.029,AGFI=0.962,NFI=0.943,IFI=0.952),且适用于不同年级与不同性别的小学生。总量表、注意力不集中因子、多动冲动因子的内部一致性系数分别为0.876、0.815、0.769,总量表重测信度为0.984。项目分析显示各条目与量表总分的相关系数为0.503~0.663(均P<0.01)。结论ASRS-R具有良好的信度和效度,适用于中国8~14岁儿童ADHD行为的识别。ObjectiveTo test the reliability and validity of the ADHD self-report scale-revised(ASRS-R)among Chinese children aged 8-14 and provide preliminary evidence for the use of ASRS-R as a tool for identifying attention deficit hyperactivity disorder(ADHD)symptoms in Chinese children aged 8-14 years.MethodsIn October 2023,elementary school students aged 8-14 from five elementary school in Shenzhen were selected for the survey through convenience sampling.The subjects were tested using ASRS-R and strengths and difficulties questionnaire(SDQ).Among them,exploratory factor analysis and item analysis were conducted on sample 1(n=1558),confirmatory factor analysis,calibration correlation validity and reliability analysis were conducted on sample 2(n=1648),and retest reliability analysis was conducted on sample 3(n=300).The data was subjected to item analysis,exploratory factor analysis,confirmatory factor analysis,calibration correlation validity and reliability analysis by SPSS 25.0 and AMOS 23.0 softwares.ResultsExploratory factor analysis showed that the KMO value was 0.947,the cumulative variance contribution was 41.061%,and the loadings for the entries ranged from 0.454 to 0.697.The confirmatory factor analysis showed a good fit of the two-factor model(χ^(2)/df=3.355,CFI=0.959,TLI=0.952,RMSEA=0.038,SRMR=0.029,AGFI=0.962,NFI=0.943,IFI=0.952),and was applicable to primary school students of different grades and genders.The internal consistency coefficients of the total scale,the dimensions of inattention and hyperactive/impulsivity were 0.876,0.815,0.769,respectively and the retest reliability of total scale was 0.984.Item analysis showed that the correlation coefficients between the score of each item and the total score of the scale ranged from 0.503 to 0.663(all P<0.01).ConclusionThe ASRS-R has good reliability and validity and is suitable for the identification of ADHD behavior in Chinese children aged 8-14.

关 键 词：注意缺陷多动障碍自评量表 注意缺陷多动障碍 儿童 信度 效度 

分 类 号：R749.94[医药卫生—神经病学与精神病学]