教师版斯诺佩评估量表第4版对学龄期注意缺陷多动障碍的评估价值OA
Evaluation value of teacher version of Swanson,Nolan and Pelham rating scale,version Ⅳ in school-aged children with attention deficit and hyperactivity disorder
目的 探讨教师版斯诺佩评估量表第 4 版(Swanson,Nolan and Pelham rating scale,version IV,SNAP-Ⅳ)对学龄期注意缺陷多动障碍(attention deficit and hyperactivity disorder,ADHD)的评估价值.方法 选取2023 年 10 月—2024 年 8 月以注意力不集中、多动或学习困难为主诉就诊的儿童,收集依据美国《精神障碍诊断与统计手册》(第 5 版)(Diagnostic and statistical manual of mental disorders,fifth edition,DSM-5)的诊断资料及教师版 SNAP-Ⅳ量表评估资料.采用 Kappa 检验分析教师版 SNAP-Ⅳ与 DSM-5 诊断 ADHD 及其分型的一致性,利用受试者工作特征(receiver operating characteristic,ROC)曲线分析教师版 SNAP-Ⅳ诊断 ADHD 分型的敏感度和特异度.结果 Kappa 检验分析发现,教师版 SNAP-Ⅳ不同阳性标准与 DSM-5 诊断 ADHD 的一致性不高(κ≤0.537),两者对诊断 ADHD 分型的一致性低(均 κ<0.400).ROC 曲线分析结果显示,当教师版 SNAP-Ⅳ注意缺陷分量表均分界限值为 1.083 时,其诊断注意缺陷的敏感度为 0.856,特异度为 0.800;当教师版SNAP-Ⅳ多动-冲动分量表的均分界限值为 0.860 时,其诊断多动-冲动的敏感度为 0.814,特异度为 0.673.结论 教师版SNAP-Ⅳ对学龄期ADHD具有临床评估价值,但与DSM-5 对ADHD分型的诊断一致性低.
Objective To explore the evaluation value of the teacher version of Swanson,Nolan and Pelham rating scale,version Ⅳ(SNAP-Ⅳ)in school-aged children with attention deficit and hyperactivity disorder(ADHD).Methods Children who visited Liaocheng People's Hospital from October 2023 to August 2024 with chief complaints of inattention,hyperactivity,or learning difficulties were enrolled.Diagnostic data based on the Diagnostic and statistical manual of mental disorders,fifth edition(DSM-5)and assessment data from the teacher version of the SNAP-IV were collected.The Kappa test was used to analyze the consistency between the teacher version of SNAP-IV and DSM-5 in the diagnosis of ADHD and its subtypes.Receiver operating characteristic(ROC)curve analysis was performed to determine the sensitivity and specificity of the teacher version of SNAP-IV in diagnosing ADHD subtypes.Results Kappa test showed that the consistency between different positive criteria of the teacher version of SNAP-IV and DSM-5 diagnosis of ADHD was low(κ value≤0.537),and the consistency in diagnosing ADHD subtypes was even lower(κ value<0.400).ROC curve analysis revealed that when the mean score cutoff of the attention deficit subscale of the teacher version of SNAP-IV was 1.083,the sensitivity and specificity for diagnosing attention deficit were 0.856 and 0.800,respectively.When the mean score cutoff of the hyperactivity-impulsivity subscale of the teacher version of SNAP-Ⅳ was 0.860,the sensitivity and specificity for diagnosing hyperactivity-impulsivity were 0.814 and 0.673,respectively.Conclusion The teacher version of SNAP-Ⅳ has clinical evaluation value for school-aged children with ADHD,but its consistency with DSM-5 in classifying ADHD subtypes is low.
李沙沙;苗海燕;钱静
聊城市人民医院儿童保健科(中国 聊城 252000)聊城市人民医院儿童保健科(中国 聊城 252000)聊城市人民医院儿童保健科(中国 聊城 252000)
教师版斯诺佩评估量表注意缺陷多动障碍学龄期评估价值
teacher version of Swanson,Nolan and Pelham rating scale,version Ⅳattention deficit and hyperactivity disorderschool-agedevaluation value
《教育生物学杂志》 2026 (3)
204-208,5
聊城市重点研发计划政策引导类项目(2022YDSF34)山东第二医科大学附属医院(教学医院)科研发展基金(2024FYM129)
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