Conners成人注意缺陷多动障碍自评量表的初步修订

Reliability and Validity of Chinese Version of Conners' Adult ADHD Rating Scales Self-Report

目的:引进Conners成人注意缺陷多动障碍自评量表(Conners'Adult ADHD Rating Scales Self-Report:Long Version,CAARS-S:L)并检验其信效度。方法:采取分层整群抽样的方法,选择成都市三个城区的健康人群749例(男性348,女性401),年龄18～60岁(平均35±11岁),并进行中文版量表测试。2周后随机抽取成都小天竺社区80名受试者进行第二次评定,评价该量表的重测信度。结果:探索性因子分析提取了注意缺陷、多动、冲动、自我评价和综合评定5个因子(累计贡献率为54.85%)。除项目48外,其他项目的负荷范围在0.408～0.834之间。每个项目与其所属因子的相关系数(r=0.41～0.83)均大于与其他因子的相关系数(r<0.30)。量表的条目归属与Conners的不一致。成人ADHD组的CAARS-S:L总分高于正常人群组和抑郁症组[(120.0±20.4)vs.(50.6±24.6),(60.4±24.6);P<0.001]。量表总的Cronbachα系数为0.963,量表的重测信度为0.773。结论:Conners成人注意缺陷多动障碍自评量表中文版在成人中使用有较好的信度和效度,但仍需扩大样本更深入地验证并改进其结构效度。

Objective： To test the reliability and validity of the Chinese version of Conners＇Adult ADHD Rating Scales Self-Report： Long Version （ CAARS-S： L） . Methods： A total of 749 healthy adults {348 males and 401 females ） aged 18 -60 years were selected from three urban districts in Cbengdu city by stratified cluster sampling method, and completed the Chinese version of CAARS-S： L Results： Exploratory factor analyses supported a five-factor structure （attention deficit, hyperactivity, impulsivity, problems with self-concept, and composite problems ）, and their cumulative contribution rate was 54. 85%. Except for item 48, the range of factor loading was between 0. 408 and 0. 834. The correlation coefficients between items and their factors were larger than those between items and other factors. The item adseription of this scale was different from that by Conners. The CAARS-S： L score in adult ADHD group was higher than that in depression group and healthy group [ [ 120. 0 ± 20. 4 ） vs. 150. 6 ± 24. 6 ）, [ 60. 4 ± 24.6） ; P 〈 0.001 ] . The Cronbach＇s alpha coefficient was 0. 963, and the test-retest reliability coefficient was 0.771. Conclusion ： The reliability and validity of the Chinese version of CAARS-S： L for adult are acceptable. However, further studies with larger sample sizes are needed to examine and improve the construct validity.