서울시 아동을 대상으로 한 주의력결핍과잉행동장애의 선별기준에 대한 연구
Screening for Attention Deficit/Hyperactivity Disorder for Children in Seoul
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참고문헌
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초록
Objectives：The purpose of this study is to investigate a cut-off value for screening children with ADHD in community based sample using the Korean Child Behavior Checklist (K-CBCL) and the Korean ADHD Rating Scale (K-ARS). Methods：Children aged 6 to 8 (n=661) participated in this study. The K-CBCL and the K-ARS were used as the screening instruments. Diagnoses were confirmed through the Diagnostic Interview Schedule for Children Version IV (DISC-IV). Results：Of the 189 subjects who underwent the DISC-IV, 26 subjects were diagnosed as ADHD. In the K-CBCL, scores in the attention problems, externalizing problems and total behavioral problems were positively correlated with the total score of the K-ARS. The K-ARS-Parent version (K-ARS-P) and above three scales in the K-CBCL showed significant screening validity in the ROC curve analysis. The reasonable level of sensitivity, specificity, and negative predictive value were obtained in the total scores ≥90th percentile in the K-ARS-Parent and ≥60T scores in the K-CBCL attention problems. The optimal level of specificity, positive predictive value and negative predictive value were obtained when combined the K-CBCL (≥60T scores in the attention problems and ≥63T scores in the total problems) and the total scores ≥90th percentile in the K-ARS-P. Conclusion：The combined use of the K-CBCL and the K-ARS-P may serve as useful screening methods for ADHD children. (J Korean Neuropsychiatr Assoc 2008;47(3):292-298)
Abstract
Objectives：The purpose of this study is to investigate a cut-off value for screening children with ADHD in community based sample using the Korean Child Behavior Checklist (K-CBCL) and the Korean ADHD Rating Scale (K-ARS). Methods：Children aged 6 to 8 (n=661) participated in this study. The K-CBCL and the K-ARS were used as the screening instruments. Diagnoses were confirmed through the Diagnostic Interview Schedule for Children Version IV (DISC-IV). Results：Of the 189 subjects who underwent the DISC-IV, 26 subjects were diagnosed as ADHD. In the K-CBCL, scores in the attention problems, externalizing problems and total behavioral problems were positively correlated with the total score of the K-ARS. The K-ARS-Parent version (K-ARS-P) and above three scales in the K-CBCL showed significant screening validity in the ROC curve analysis. The reasonable level of sensitivity, specificity, and negative predictive value were obtained in the total scores ≥90th percentile in the K-ARS-Parent and ≥60T scores in the K-CBCL attention problems. The optimal level of specificity, positive predictive value and negative predictive value were obtained when combined the K-CBCL (≥60T scores in the attention problems and ≥63T scores in the total problems) and the total scores ≥90th percentile in the K-ARS-P. Conclusion：The combined use of the K-CBCL and the K-ARS-P may serve as useful screening methods for ADHD children. (J Korean Neuropsychiatr Assoc 2008;47(3):292-298)
참고문헌 (28)
- American Psychiatric Association, "Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR Fourth Edition" (2000), American psychiatric association Press
- Biederman J, "Attention-deficit", hyperactivity disorder: a selective overview, 2005, pp.57, 1215~1220
- Faraone SV, "Molecular genetics of attention-deficit", hyperactivity disorder, 2005, pp.57, 1313~1323
- Faraone SV, "The worldwide prevalence of ADHD: is it an American condition?", World Psychiatry, 2, pp.104~113 (2003)
- Polanczyk G, "The worldwide prevalence of ADHD: a systematic review and metaregression analysis", Am J Psychiatry, 164, pp.942~948 (2007)
- Yang SJ, "Prevalence and correlates of attention deficit hyperactivity disorder: school-based mental health services in Seoul", J Korean Neuropsychiatr Assoc, 45, pp.69~76 (2006)
- Cho SC, "Prevalence of disruptive behavior disorder", Kor Acad Child Adolesc Psychiatry, 5, pp.141~149 (1994)
- Reports of Epidemiological study in 2005, , Seoul children and adolescent mental health center, ~ (2005)
- Biederman J, "Cormobidity of attention deficit hyperactivity disorder with conduct, depressive, anxiety, and other disorders", Am J Psychiatry, 148, pp.564~577 (1991)
- Pliszka SR, "Comorbidity of attention-deficit", hyperactivity disorder with psychiatric disorder: an overview, 1998, pp.59(7), 50~58
- Klassen AF, "Health-related quality of life in children and adolescents who have a diagnosis of attention-deficit", hyperactivity disorder, 2004, pp.114, 541~547
- DuPaul GJ, "ADHD in the school: Assessment and intervention strategies" (1994), Guilford
- Biederman J, "Long-term stability of the Child Behavior Checklist in a clinical sample of youth with attention deficit hyperactivity disorder", J Clin Child Psychol, 30, pp.492~502 (2001)
- DuPaul GJ, "Teacher ratings of attention-deficit", hyperactivity disorder: Factor structure and normative data, 1997, pp.9, 436~444
- So YK, "The reliability and validity of Korean parent and teacher ADHD rating scale", J Korean Neuropsychiatr Assoc, 41, pp.283~289 (2002)
- Kim JW, "Screening for attention deficit hyperactivity disorder in community mental health services for children", J Korean Neuropsychiatr Assoc, 43, pp.200~208 (2004)
- Ahn DH, "Attention Deficit Hyperactivity Disorder. Hong KE, editor. Korean textbook of child psychiatry", pp.220~244 (2005), Jungang Moonhwa co.
- DuPaul GJ, "Parent and teacher ratings of ADHD symptoms: psychometric properties in a community-based sample", J Clin Child Psychol, 20, pp.245~253 (1991)
- Kim YS, "Normative data on the Korean ADHD Rating Scales (K-ARS) for parents and teacher", J Korean Neuropsychiatr Assoc, 42, pp.352~359 (2003)
- 4-18 and 1991 profile, "Manual for the child behavior checklist", pp.1991, Achenbach TM
- Hong KE, "An epidemiological study of behavior problems in Korean elementary school children by CBCL", J Korean Neuropsychiatr Assoc, 27, pp.346~358 (1988)
- Oh KJ, "Development of korean child behavior checklist: a preliminary study", J Korean Neuropsychiatr Assoc, 29, pp.452~462 (1990)
- Ha EH, "Reconstruction of the behavior problem scales of the Korean CBCL", The Seoul J of Psychiatry, 20, pp.45~52 (1996)
- Shaffer D, "NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISCIV): description, differences from previous versions, and reliability of some common diagnoses", J Am Acad Child Adolesc Psychiatry, 39, pp.28~38 (2000)
- Cho SC, "The reliability and validity of Diagnostic Interview Schedule for Children Version IV-Korean version (DISC-IV)", J Kor Acad Child Adolesc Psychiatry (2007)
- Biederman J, "Convergence of the Child Behavior Checklist with structured interview- based psychiatric diagnoses of ADHD children with and without co-morbidity", J Child Psychol Psychiatry, 34, pp.1241~1251 (1993)
- Park SH, "Receiver operating characteristic (ROC) curve: practical review for radiologists", Korean J Radiol, 5, pp.11~18 (2004)
- Chen WJ, "Diagnostic accuracy of the Child Behavior Checklist scales for attention-deficit hyperactivity disorder: a receiver-operating characteristic analysis", J Consult Clin Psychol, 62, pp.1017~1025 (1994)