中文版反社会性行为特质筛查问卷(APSD)父母版的效度和信度

Validity and reliability of the Chinese version of the Antisocial Process Screening Device parent form for young children in China

目的:评价中文版反社会性行为特质筛查问卷(APSD)父母版的效度与信度。方法:选取符合精神障碍诊断与统计手册第5版(DSM-5)诊断标准的注意缺陷多动障碍(ADHD,n=161)、对立违抗障碍(ODD,n=117)和品行障碍(CD,n=13)的儿童291例,以及年龄性别相匹配的正常儿童288例为研究对象(年龄6~13岁)。请其家长填写APSD父母版以评估儿童冷漠无情特质,填写Vanderbilt父母评定量表(VADPRS)及Conners父母症状问卷(PSQ)以评估儿童的行为问题,随机选取48名家长间隔1~3周再次填写APSD父母版问卷。对数据进行验证性因素分析、同时效度、受试者工作特征(ROC)曲线和内部一致性信度及重测信度分析,以评估APSD的效度和信度。结果:验证性因素分析显示,APSD 3因子模型结构拟合良好。同时效度,APSD与Vanderbilt父母评定量表及Conners父母症状问卷因子呈正相关(r=0.31~0.79,P<0.01)。ROC曲线显示,当APSD的T值为56时,诊断ADHD的灵敏度为0.82,特异度为0.81。APSD的内部一致性为0.65~0.83,重测信度为0.63~0.82。结论:中文版APSD父母版具有良好的效度和信度。

Objective： To evaluate the validity and reliability of the Chinese version of the Antisocial Process Screening Device parent form （APSD） for young children in China. Methods： Parents of elementary school students （aged 6 - 13 years, n = 288） and parents of non-reference clinical patients who were diagnosed with attention-deft- cit/hyperactivity disorders （ADHD, n = 161 ）, oppositional defiant disorder （ODD, n = 117） and conduct disorder （CD, n = 13） by psychiatrist based on DSM-V （aged 6 - 13 years, n = 291） completed the APSD, Vanderbilt ADHD Parent Rating Scale （VADPRS）, Parents Symptom Questionnaire （PSQ）. Forty-eight of them completed BRIEF-P retest after 2 weeks. Confirmatory factor analysis, concurrent validity, receiver operating characteristic curve （ROC）, internal consistency and test-retest reliability were used to evaluate the reliability and validity of APSD. Results： Confirmatory factor analysis showed that the three factors model of APSD was reasona- ble. Subscales of APSD were moderately correlated （ r = 0. 31 - 0.79, P 〈 0. 01） with subscales of VanderbiltADHD Parent Rating Scale and Parents Symptom Questionnaire. ROC results showed that sensitivity and specificity were 0. 82 and 0. 81 wben the standard score was 56. Cronbach a coefficients were 0. 65 -0. 83 and retest reliabili- ties were 0. 63 - 0. 82. Conclusion： The validity and reliability of APSD are satisfactory in China.