关键词: 注意缺陷多动障碍, 症状量表, 家长, 教师, 聚类分析

Abstract: Objective To investigate the distinction on attention deficit hyperactivity disorder(ADHD) core symptoms reported between parents and teachers,and to analyze the relationship among symptom items. Methods The ADHD symptom scales filled by parents and teachers for 230 children from outpatient service from August to October 2015 were collected.The distinction between different observers was analyzed by paired Chi-square test and Cohen`s kappa coefficient,while relationship among symptom items was analyzed by cluster analysis. Results 1) The agreement between parents′ and teachers′ report was low to moderate.2) In regard to attention deficit and hyperactivity symptoms,symptoms reported by parents,except for the items of effort,completing duty and noise,were significantly more than teachers (P<0.05).3) The nine symptom items of attention deficit syndrome might be grouped into the following 4 categories.Category A:conscious of details,attention abidance,interference control.Category B:seeming not listening,completing duty,planning;Category C:losing sundries,forgetting business;Category D:delay aversion. Conclusions Parents′ awareness of most ADHD symptoms is significantly higher than that of teachers′.Attention deficit symptoms reported by teacher seems to be helpful for explaining the relation of symptoms to brain dysfunction.

Key words: attention deficit hyperactivity disorder, symptom scale, parent, teacher, cluster analysis