成人ADHD自评量表(ASRS-V1.1泰国版)的信度和效度研究

背景:18项成人ADHD自评量表(ASRS-V1.1)是一份针对成人ADHD的筛查量表.目标:旨在测试泰国版18项成人ADHD筛查量表(ASRS-V1.1)的信度和效度.方法:将原版18项成人ADHD筛查量表翻译为泰语.经翻译、回译、对比,并通过国内的文化调适、现场测试和最终确认等一系列步骤完成.对1500名来自曼谷幼儿园、小学的家长采用泰国版18项成人ADHD自评量表进行阳性结果和阴性结果筛查,并从中随机选取各50例进行诊断性访谈.最终由3名精神科医生进行临床访谈,根据DSM-5注意缺陷多动障碍诊断标准明确诊断为成人ADHD患者.结果:泰国版18项成人ADHD筛查量表有较好的内部一致性(Cronbach alpha=0.86:其中注意缺陷型Cronbach alpha=0.78,多动/冲动型Cronbach alpha=0.76).泰国版18项成人ADHD自评量表效度检验显示问卷有较好敏感性(90.9％)和特异性(62.5％).前6项的AUC为0.80 (95％ CI:0.68-0.92),18项的AUC为0.71(95％ CI:0.55-0.86).结论:18项ASRS-V1.1泰国版对成人ADHD筛查量表具有较好的信度和效度,特别是量表前6项.

Validity and Reliability of Adult ADHD Self-Report Scale Thai Version (ASRS-V1.1 TH)

Background:The adult ADHD Self-Report Scale Thai version (ASRS-V1.1) (18 items) is a questionnaire for screening adult ADHD.Aim:To test the validity and reliability of the 18-question ASRS-V1.1 Thai version (ASRS-V1.1 TH) as a screening tool for adult ADHD Methods:The original 18-question ASRS-V1.1 version was translated into Thai.The process was composed of forward-translation,synthesis of the translation,and back translation.Cross cultural adaptation,field testing,and final adjustment were completed consecutively.The 18-question ASRS-V1.1 TH were sent to 1,500 parents of kindergarten and elementary school students in Bangkok,Thailand.The diagnostic interview was randomly selected for 50 parents from the positive result group and 50 parents from the negative result group.The clinical interview for confirming diagnosis was run by 3 psychiatrists who were blinded to the results and used DSM-5 ADHD criteria for diagnosis.Results:The 18-question ASRS-V1.1 TH had satisfactory internal consistency (Cronbach's alpha =0.92:Cronbach's alpha =0.87 for inattentive scale,Cronbach's alpha =0.84 for hyperactive / impulsive scale).For testing the criteria validity,the questionnaire has an adequate.The AUC from the first 6 questions was 0.80 (95％ Cl:0.68-0.92) while from the 18 questions was 0.71(95％ Ch 0.55-0.86).Conclusions:The 18-question ASRS-V1.1TH is a psychometrically reliable and valid measure for screening adult ADHD in Thai clinical samples,especially the first 6 questions of the questionnaire.