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CBCL DSM导向尺度的同时有效性:来自ABCD研究的证据
Lindsay C Chromik1, Lauren M Friedman1
1Department of Psychology, REACH Institute, Arizona State University, Tempe, AZ, USA.
Clinical child psychology and psychiatry
|March 13, 2026
概括
与临床面试相比,儿童行为检查清单 (CBCL) DSM导向尺度 (DOSs) 在确定儿童精神病诊断方面的准确性较差. 这表明,由于许多虚假负面结果,需要谨慎.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 心理测量验证 心理测量验证
- 神经发育研究 神经发育研究
背景情况:
- 儿童行为检查清单 (CBCL) DSM导向尺度 (DOSs) 广泛用于识别儿童的精神疾病.
- 关于CBCL DOSs在诊断DSM疾病中的有效性之前的研究产生了不一致的结果.
研究的目的:
- 这项研究旨在评估CBCL DOSs的并发有效性.
- 这项研究将CBCL DOS分类与黄金标准的临床诊断面试进行了比较.
主要方法:
- 这项研究利用了NIH青少年大脑认知发展 (ABCD) 研究中的11,851名儿童的数据.
- 照顾者完成了CBCL,儿童在基线和/或两年随访时接受了Kiddie表情绪障碍和精神分裂症 (KSADS) 半结构面试.
主要成果:
- CBCL DOSs的灵敏度在10.36%至75.00%之间,只有两个尺度超过50%.
- 具体性很高 (92.47% - 97.07%),但积极的预测值很低 (0.71% - 48.20%).
- 曲线下的面积 (AUC) 值在0.55和0.84.8之间变化.
结论:
- 在这个大样本中,与KSADS临床面试相比,CBCL DOSs的并发有效性较差.
- 临床医生在解释CBCL DOS结果时应谨慎行事,因为错误阴性率很高.
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