摘要:
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-deficit/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 reasonable.Subscales of APSD were moderately correlated (r =0.31-0.79,P < 0.01) with subscales of Vanderbilt ADHD Parent Rating Scale and Parents Symptom Questionnaire.ROC results showed that sensitivity and specificity were 0.82 and 0.81 when the standard score was 56.Cronbach α coefficients were 0.65-0.83 and retest reliabilities were 0.63-0.82.Conclusion:The validity and reliability of APSD are satisfactory 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.