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      ROC 분석을 통한 주의력결핍 과잉행동장애 아동의 변별: K-CBCL 소척도를 기준으로 = Discriminating of ADHD Children with K-CBCL subscales:A Receiver Operating Characteristic (ROC) Analysis

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      https://www.riss.kr/link?id=A104697407

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      다국어 초록 (Multilingual Abstract)

      The purpose of this study was to examine the diagnostic accuracy of the CBCL subscales for predicting DSM-IV Attention Deficit-Hyperactivity Disorder (ADHD) group without comorbid disorders from non-referred group. The sample included 118 children aged 6 to 11 (99 boys, 19 girls), who were referred to psychiatric hospitals and psychological clinics and were diagnosed by child psychiatrists and clinical psychologists based on the full-battery psychological evaluations and medical interviews. Statistical performance was conducted through univariate and multivariate stepwise logistic regressions as well as receiver-operating characteristic (ROC) analyses. The Attention Problems subscale significantly predicted ADHD boys group from non-referred boys group and showed good diagnostic accuracy, as assessed through ROC analyses (AUC = .88). The Social Problem subscale significantly predicted ADHD girls group from non-referred girls group and showed good diagnostic accuracy, as assessed through ROC analyses (AUC = .90). CBCL subscales demonstrated good diagnostic effectiveness for diagnosing ADHD without comorbidity in children. Further research will be necessary to consider the importance of the sex distinction for discriminating ADHD group.
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      The purpose of this study was to examine the diagnostic accuracy of the CBCL subscales for predicting DSM-IV Attention Deficit-Hyperactivity Disorder (ADHD) group without comorbid disorders from non-referred group. The sample included 118 children age...

      The purpose of this study was to examine the diagnostic accuracy of the CBCL subscales for predicting DSM-IV Attention Deficit-Hyperactivity Disorder (ADHD) group without comorbid disorders from non-referred group. The sample included 118 children aged 6 to 11 (99 boys, 19 girls), who were referred to psychiatric hospitals and psychological clinics and were diagnosed by child psychiatrists and clinical psychologists based on the full-battery psychological evaluations and medical interviews. Statistical performance was conducted through univariate and multivariate stepwise logistic regressions as well as receiver-operating characteristic (ROC) analyses. The Attention Problems subscale significantly predicted ADHD boys group from non-referred boys group and showed good diagnostic accuracy, as assessed through ROC analyses (AUC = .88). The Social Problem subscale significantly predicted ADHD girls group from non-referred girls group and showed good diagnostic accuracy, as assessed through ROC analyses (AUC = .90). CBCL subscales demonstrated good diagnostic effectiveness for diagnosing ADHD without comorbidity in children. Further research will be necessary to consider the importance of the sex distinction for discriminating ADHD group.

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      참고문헌 (Reference)

      1 하은혜, "한국판 CBCL의 문제행동증후군 척도 재구성을 위한 연구" 20 : 45-52, 1996

      2 오경자, "한국 아동 청소년의 문제행동증후군 연구 Ⅰ: 4-5세, 6-11세, 12-16세 남아 CBCL 자료의 분석" 9 : 33-55, 1990

      3 조수철, "파탄적 행동장애의 유병률에 대한 연구" 5 : 147-259, 1994

      4 신의진, "주의산만을 주소로 소아정신과를 내원한 아동의 인지적 특성" 11 : 290-296, 2000

      5 홍강의, "주의산만·과잉운동을 주소로 소아정신과를 방문한 아동의 진단적 분류의 평가" 7 : 190-202, 1996

      6 김지혜, "주의력결핍/과잉운동장애(ADHD) 아동의 진단도구로서 부모용 행동 평가지의 타당도 연구: 한국아동인성검사와 아동, 청소년 행동평가척도를 중심으로" 11 : 282-289, 2000

      7 고려원, "주의 산만을 주소로 하는 아동의 발달 및 행동 특성에 관한 연구" 16 : 133-149, 1997

      8 신민섭, "전산화된 주의력장애 진단시스템의 개발 및 표준화 연구" 11 : 282-289, 2000

      9 오경자, "아동, 청소년 행동평가척도(K-CBCL)" 중앙적성연구소 1997

      10 홍강의, "소아정신과 외래환자의 과잉운동에 관한 연구" 23 : 85-91, 1980

      1 하은혜, "한국판 CBCL의 문제행동증후군 척도 재구성을 위한 연구" 20 : 45-52, 1996

      2 오경자, "한국 아동 청소년의 문제행동증후군 연구 Ⅰ: 4-5세, 6-11세, 12-16세 남아 CBCL 자료의 분석" 9 : 33-55, 1990

      3 조수철, "파탄적 행동장애의 유병률에 대한 연구" 5 : 147-259, 1994

      4 신의진, "주의산만을 주소로 소아정신과를 내원한 아동의 인지적 특성" 11 : 290-296, 2000

      5 홍강의, "주의산만·과잉운동을 주소로 소아정신과를 방문한 아동의 진단적 분류의 평가" 7 : 190-202, 1996

      6 김지혜, "주의력결핍/과잉운동장애(ADHD) 아동의 진단도구로서 부모용 행동 평가지의 타당도 연구: 한국아동인성검사와 아동, 청소년 행동평가척도를 중심으로" 11 : 282-289, 2000

      7 고려원, "주의 산만을 주소로 하는 아동의 발달 및 행동 특성에 관한 연구" 16 : 133-149, 1997

      8 신민섭, "전산화된 주의력장애 진단시스템의 개발 및 표준화 연구" 11 : 282-289, 2000

      9 오경자, "아동, 청소년 행동평가척도(K-CBCL)" 중앙적성연구소 1997

      10 홍강의, "소아정신과 외래환자의 과잉운동에 관한 연구" 23 : 85-91, 1980

      11 Derks, E. M., "Why more boys than girls with ADHD receive more treatment: a study of dutch twins" 10 : 765-770, 2007

      12 Gaub, D. L., "Validation of ADHD subtypes" 26 : 46-52, 1997

      13 Flory, K., "The relation between attention deficit hyperactivity disorder and substance abuse: What roles does conduct disoder play" 6 : 1-16, 2003

      14 Costello, E. J., "The Great Smokey Moutains study of youth: goals, design, methods, and the prevalence of DSM-III-R disorders" 53 : 1129-1136, 1996

      15 Nolan, E. E., "Teacher reports of DSM-IV ADHD, ODD, and CD symptoms in schoolchildren" 40 : 241-249, 2001

      16 Hudziak, J. J., "Screening for DSM-IV externalizing disorders with the Child Behavior Checklist: a receiver-operating characteristic analysis" 45 : 1299-1307, 2004

      17 Scahill, L., "Psychosocial and clinical correlates of ADHD in a community sample of school-age children" 38 : 976-984, 1999

      18 Steingard, R., "Psychiatric comorbidity in attention deficit disorder: impact on the interpretation of Child Behavior Checklist results" 31 : 449-454, 1992

      19 Fergusson, D. M., "Prevalence and comorbidity of DSM-III-Rdiagnoses in a birth cohort of 15 years olds" 32 : 1127-1134, 1993

      20 Gorenstein, E. E., "Performance of inattentive- overactive children on selected measures of prefrontal-type function" 45 : 619-632, 1989

      21 Wirt, R. D., "Mutidimensional evaluation of child personality: A manual for the Personality Inventory for Children" Western Psychological Services 1977

      22 Rey, J. M., "Measuring the accuracy of diagnostic tests using receiver operating characteristic (ROC) analysis" 2 : 39-50, 1992

      23 Achenbach, T. M., "Manual for the Child Behavior Checklist and Revised Child Behavior Profile" University of Vermont 1983

      24 Achenbach, T. M., "Manual for the ASEBA School-Age Forms and Profiles" University of Vermont 2001

      25 Wasdsworth, M. E., "Latent class analysis of Child Behavior Checklist Anxiety/ Depression in children and adolescents" 40 : 106-114, 2001

      26 Chelune, G. J., "Frontal lobe disinhibition in attention deficit disorder" 16 : 221-234, 1986

      27 Iaboni, F., "Effects of reward and response costs on inhibition in ADHD children" 104 : 232-240, 1995

      28 Aschenbrand, S. G., "Discriminant validity and clinical utility of the CBCL with anxiety-disordered youth" 34 : 735-746, 2005

      29 Matier-Sharma, K., "Differential diagnosis of ADHD: Are objective mea녀res of attention, impulsivity, and activity level helpful" 1 : 118-127, 1995

      30 Lampert, T. L., "Diagnostic performance of the CBCL- Attention Problem Scale as a screening measure in a sample of Brazilian children with ADHD" 8 : 63-71, 2004

      31 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" American Psychiatric Association 1994

      32 Chen, W. J., "Diagnostic accuracy of the Child Behavior Checklist scales for attention-deficit hyperactivity disorder: a receiver-operating characteristic analysis" 62 : 1017-1025, 1994

      33 Ostrander, R., "Diagnosing attention deficit disorders with the Behavioral Assessment System for Children and the Child Behavior Checklist: test and construct validity analyses using optimal discriminant classification trees" 66 : 660-672, 1998

      34 Kazdin, A. E., "Convergence of clinically derived diagnoses and parent checklists among inpatient children" 12 : 421-435, 1984

      35 Edelbrock, C., "Convergence between statistically derived behavior problem syndromes and child psychiatric diagnoses" 16 : 219-231, 1988

      36 Barkley, R. A., "Comprehensive evaluation of attention deficit disorder with andwithout hyperactivity as defined by research criteria" 58 : 775-789, 1990

      37 Mayes, S. D., "Clinical validity and interpretation of the Gordon diagnostic system in ADHD assessments" 7 : 32-41, 2001

      38 Hartung, C. M., "Biases in ratings of disruptive behavior in children: effects of sex and negrative halos" 9 : 62-630, 2006

      39 Bohlin, G., "Behavioural problems and psychiatric symptoms in 5 - 13 year-old Swedish children - a comparison of parent ratings on the FTF (Five to Fifteen) with the ratings on CBCL" 13 : 14-22, 2004

      40 Daley, C. E., "Attention-deficit/hyperactivity disorder: relations between prevalence rate and school district size, diagnostic method, and referral process" 83 : 593-594, 1998

      41 Kasius, M. C., "Associations between different diagnostic approaches for child and adolescent psychopathology" 38 : 625-632, 1997

      42 Bauermeister, J. J., "ADHD correlates, comobrbidity, and impairment in community and treated samples of children and adolescents" 35 : 883-898, 2007

      43 Holmes, W. C., "A short, psychiatric, case-finding measure for HIV seropositive outpatients: Performance characteristics of the 5-item mental health subscale of the SF-20 in a male" 36 : 237-243, 1998

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