中国和英国精神科医生对儿童多动行为症状的评估比较

目的 :比较不同文化背景的精神专科医生在评估多动症儿童各种症状表现时的一致程度 ,探讨文化对儿童多动症诊断可能产生的影响。方法 :使用单独或集体行为观察清单 ,让两地的精神科医生对儿童多动症的各种表现进行症状评估 ;所有的评估者均观察同一录像带上患儿的行为表现 ;对其评定结果进行统计和比较。结果 :儿童独自活动观察量表的 12项中有 11项症状条目评定结果类似 ,有 3项英国医生的评分高于中国医生 ,有 9项中国医生评分高于英国医生 ,其中 1项具有显著性差异。结论 :对行为表现和症状认知的文化差异可能使流行病学的研究出现不同的结果 ,即使使用统一的诊断标准和症状评分量表作为诊断工具 ,不同文化背景的国家 ,儿童多动症的患病率仍然可不一致

A Comparison of Assessment on Symptoms of ADHD by Chinese and British Teachers

Objective:To determine the affection of different culture background of teachers in cross-culture study of ADHD Method:30 Chinese teachers of Fangcun elementary school in Guangzhou and 10 British teachers of an elementary school in the Leeds in UK rated the presence and degree of hyperactive disruptive behaviors in a standardized videotape, showing one 7-year-old boy who participated in individual and group activities The results of rating were compared Result:Chinese and British teachers gave the similar scores in most of items In some items, the Chinese teachers gave highe-r scores than the British, but only in one item Chinese gave lower score than the British teachers Conclusion:Perception of hyperactivity varies across countries