认知缓慢特质量表中文版修订及信效度评估

doi:10.11852/zgetbjzz2022-0168

中国儿童保健杂志 ›› 2022, Vol. 30 ›› Issue (12): 1297-1303.DOI: 10.11852/zgetbjzz2022-0168

认知缓慢特质量表中文版修订及信效度评估

文竹^*, 李焱^*, 林裕雄, 孙智信, 江文庆

上海交通大学医学院附属精神卫生中心, 上海 200030

收稿日期:2022-02-16 修回日期:2022-05-11 发布日期:2022-11-30 出版日期:2022-12-10
通讯作者: 江文庆,E-mail:jiangwenqingchildpsy@126.com
作者简介:文竹(1990-),女,四川人,医师,硕士学位,主要研究方向为儿童及青少年精神心理障碍;李焱(1987-),女,河南人,主治医师,硕士学位,主要研究方向为儿童及青少年精神心理障碍。注:^*共同第一作者。
基金资助:
国家自然科学基金青年项目(18901386);国家自然科学基金面上项目(81771477);上海市老龄化和妇儿健康研究专项 (2020YJZX0201);上海市公共卫生体系建设三年行动计划(2020-2022年)重点学科建设计划(GWV-101-K19)

Validity and reliability of the Chinese version of the Sluggish Cognitive Temp Scale

WEN Zhu^*, LI Yan^*, LIN Yu-xiong, SUN Zhi-xin, JIANG Wen-qing

Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200030,China

Received:2022-02-16 Revised:2022-05-11 Online:2022-12-10 Published:2022-11-30
Contact: Corresponding author:JIANG Wen-qing, E-mail: jiangwenqingchildpsy@126.com

摘要/Abstract

摘要： 目的修订并评价中文版认知缓慢特质(SCT)量表的信效度,为临床评估认知缓慢特质提供工具。方法 2020年6—12月随机抽取上海地区两所普通小学的在校生(n=1 735),由抚养人完成中文版SCT 量表、ADHD 诊断量表父母版(ADHDDS-P)和阿成贝切儿童行为清单(CBCL)的填写。在一至五年级随机选取2个班的学生(n=266),以30天为间隔,对SCT量表进行重测。选取在上海市精神卫生中心儿少门诊就诊且符合美国精神障碍诊断与统计手册第5版(DSM-5)中ADHD诊断标准的患儿(n=106),完成SCT量表、ADHDDS-P。结果 SCT量表内部一致性Cronbach′s α系数为 0.920;重测信度为0.852,项目与总分的一致性相关系数为0.469~0.784(P<0.01);探索性因子分析提示SCT量表得到3个因子(KMO=0.946,P<0.001),分别命名为白日梦、迟缓和认知能力减退;验证性因子分析提示初步符合三因子模型,计算获得结构效度(χ²/df=7.739,RMSEA=0.084);学校样本中SCT与ADHDDS-P总分相关系数较高(r=0.753, P＜0.05);ADHD病例组中SCT得分均显著高于对照组儿童(男生t=13.77, 女生t=7.81,P＜0.001)。结论 SCT量表中文版总体信效度良好,通过探索和验证性因子分析,三因子模型适配度尚可,可试用于临床。

关键词: 认知缓慢特质, 量表, 信度, 效度, 注意缺陷多动障碍

Abstract: Objective To revise the Chinese version of the sluggish cognitive tempo(SCT) Scale, and to test its reliability and validity,in order to provide a valid tool for assessing SCT. Methods Totally 1 735 students from two ordinary primary schools in Shanghai were randomly selected from April to December 2020, whose parents completed the questionnaire, including SCT scale, Attention Deficit Hyperactivity Disorder Diagnostic Scale-Parent Version(ADHDDS-P), Achenbach Child Behaviour Checklist (CBCL). Partly 266 students randomly selected from school samples in grades one to five were assessed with SCT scale to analyze the test-retest reliability 1 month later. And 106 patients diagnosed with the DSM-5 criteria of ADHD disorder from Shanghai Mental Health Center were tested by SCT and ADHDDS-P. Results The Cronbach′s α coefficient of the SCT scale was 0.920, and the test-retest coefficient was 0.85 (P<0.01). The consistency between the items and the total score ranged from 0.469 to 0.784(P<0.01). Exploratory factor analysis showed that SCT had 3 factors (KMO=0.946, P＜0.001), named daydreaming, tardiness and cognitive decline. Confirmatory factor analysis tested proved the three-factor model basically fit (χ²/df=7.739, RMSEA=0.084). The SCT total scores were positively correlated with ADHDDS-P total scores (r=0.753, P＜0.05), and the SCT scores were higher in children with ADHD(boys: t=13.77, girls: t=7.81, P＜0.001). Conclusions SCT scale is basically appropriate for Chinese because of its good validity and reliability. The three-factor model fits well proved by exploratory and confirmatory factor analysis, so it could be used to assess sluggish cognitive tempo symptoms for children.

Key words: sluggish cognitive tempo, Scale, reliability, validity, attention deficit hyperactivity disorder

中图分类号:

R179

文竹, 李焱, 林裕雄, 孙智信, 江文庆. 认知缓慢特质量表中文版修订及信效度评估[J]. 中国儿童保健杂志, 2022, 30(12): 1297-1303.

WEN Zhu, LI Yan, LIN Yu-xiong, SUN Zhi-xin, JIANG Wen-qing. Validity and reliability of the Chinese version of the Sluggish Cognitive Temp Scale[J]. Chinese Journal of Child Health Care, 2022, 30(12): 1297-1303.

参考文献

[1] Becker SP, Marshall SA,McBurnett K. Sluggish cognitive tempo in abnormal child psychology:An historical overview and introduction to the special section[J]. J Abnorm Child Psychol, 2014, 42(1):1-6.
[2] Hartman CA, Willcutt EG, Rhee SH, et al. The relation between sluggish Cognitive Tempo and DSM-Ⅳ ADHD[J]. J Abnorm Child Psychol, 2004, 32(5):491-503.
[3] Willcutt EG, Chhabildas N, Kinnear M, et al. The internal and external validity of sluggish cognitive tempo and its relation with DSM-Ⅳ ADHD[J]. J Abnorm Child Psychol, 2013, 42(1):21.
[4] Bernad MDM, Servera M, Becker SP, et al. Sluggish cognitive tempo and ADHD inattention as predictors of externalizing, internalizing, and impairment domains: A 2-year longitudinal study[J]. J Abnorm Child Psychol, 2016,44(4):771-785.
[5] American Psychiatric Association. Diagnostic and statistical manual of mental disorders:DSM-5[M].Washington DC:American Psychiatric Association, 2013.
[6] Penny AM,Waschbusch DA, Klein RM, et al. Developing a measure of sluggish cognitive tempo for children: Content validity, factor structure, and reliability[J]. Psychol Assess, 2009, 21(3):380-389.
[7] Barkley RA. Distinguishing sluggish cognitive tempo from ADHD in children and adolescents: Executive functioning, impairment, and co-morbidity[J]. J Clin Child Adolesc Psychol, 2013, 42(2):161.
[8] Lee S, Burns GL, Snell J, et al. Validity of the sluggish cognitive tempo symptom dimension in children: Sluggish cognitive tempo and ADHD-inattention as distinct symptomdimensions[J]. J Abnorm Child Psychol, 2014,42(1):7-19.
[9] 苏林雁, 耿耀国, 王洪,等. 注意缺陷多动障碍诊断量表父母版的中国城市儿童常模制定及其信度和效度的检验[J]. 中国实用儿科杂志,2006,21(11):833-836.
[10] 苏林雁, 李雪荣. Achenbach儿童行为量表的湖南常模[J]. 中国临床心理学杂志,1996,12(1):24-28.
[11] 江文庆,杜亚松. 注意缺陷多动障碍的认知迟缓特质[J]. 中国儿童保健杂志,2021,29(6):632-635.
[12] Garner AA,Marceaux JC, Sylvie Mrug, et al. Dimensions and correlates of attention deficit/hyperactivity disorder and sluggish cognitive tempo[J]. J Abnorm Child Psychol, 2010,38(8):1097-1107.
[13] Araujo Jiménez EA, Jané Ballabriga MC, Bonillo MA, et al. Executive functioning in children and adolescents with symptoms of sluggish cognitive tempo and ADHD[J]. J Atten Disord, 2015, 19(6):507-514.
[14] Skirbekk B,Hansen BH,Oerbeck B, et al. The relationship between sluggish cognitive tempo, subtypes of attention-deficit/hyperactivity disorder, and anxiety disorders[J]. J Abnorm Child Psychol,2011, 39(4):513-525.
[15] Pfiffner LJ,Mikami AY,Huang-Pollock C, et al. A randomized, controlled trial of integrated home-school behavioral treatment for ADHD, predominantly inattentive type [J]. Am Acad Child Adolesc Psychiatry, 2007, 46(8):1041-1050.
[16] Jacobson LA,Murphy-Bowman SC,Pritchard AE, et al. Factor structure of a Sluggish Cognitive Tempo Scale in clinically-referred children[J]. J Abnorm Child Psychol,2012, 40(8):1327-1337.
[17] Todd RD, Rasmussen ER, Wood C, et al. Should sluggish cognitive tempo symptoms be included in the diagnosis of attention-deficit/hyperactivity disorder? [J]. J Am Acad Child Adolesc Psychiatry, 2004,43(5):588-597.
[18] 陈琦,梁万年,孟群. 结构方程模型及其应用[M]. 北京:经济科学出版社, 2004.
[19] Becker SP, Leopold DR., Burns GL, et al. The internal, external, and diagnostic validity of sluggish cognitive tempo: A meta-analysis and critical review[J]. J Am Acad Child Adolesc Psychiatry, 2016,55:163-178.
[20] Herpers PC, Rommelse NN, Bons DM, et al. Callous-unemotional traits as a cross-disorders construct[J]. Soc Psychiatry Psychiatr Epidemiol, 2020,47(12):2045-2064.

认知缓慢特质量表中文版修订及信效度评估

Validity and reliability of the Chinese version of the Sluggish Cognitive Temp Scale

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