Factor structure of parent- and teacher-rated attention-deficit/hyperactivity disorder symptoms in the Preschoolers with Attention-Deficit/Hyperactivity Disorder Treatment Study (PATS)

被引:38
作者
Hardy, Kristina K. [1 ]
Kollins, Scott H. [1 ]
Murray, Desiree W. [1 ]
Riddle, Mark A. [6 ]
Greenhill, Laurence [7 ]
Cunningham, Charles [4 ]
Abikoff, Howard B. [2 ]
McCracken, James T. [8 ]
Vitiello, Benedetto [5 ]
Davies, Mark [7 ]
McGough, James J. [8 ]
Posner, Kelly [7 ]
Skrobala, Anne M. [7 ]
Swanson, James M. [3 ]
Wigal, Tim [3 ]
Wigal, Sharon B. [3 ]
Ghuman, Jaswinder K. [9 ]
Chuang, Shirley Z. [7 ]
机构
[1] Duke Univ, Med Ctr, Durham, NC 27710 USA
[2] NYU, Ctr Child Study, New York, NY USA
[3] Univ Calif Irvine, Irvine, CA USA
[4] McMaster Univ, Toronto, ON, Canada
[5] NIMH, Bethesda, MD 20892 USA
[6] Johns Hopkins Univ, Baltimore, MD USA
[7] Columbia Univ, New York State Psychiat Inst, New York, NY USA
[8] Univ Calif Los Angeles, Los Angeles, CA USA
[9] Univ Arizona, Tucson, AZ USA
关键词
D O I
10.1089/cap.2007.0073
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective: This study examines one-, two-, and three-factor models of attention-deficit/hyperactivity disorder (ADHD) using the existing 18 Diagnostic and Statistical Manual of Mental Disorder, 4th edition (DSM-IV) symptoms in a sample of symptomatic preschoolers. Methods: Parent and/or teacher ratings of DSM-IV symptoms were obtained for 532 children (aged 3-5.5) who were screened for the Preschool ADHD Treatment Study (PATS). Confirmatory factor analysis (CFA) using symptoms identified on the Conners' Parent and Teacher Rating Scales was conducted to assess a two-factor model representing the DSM-IV dimensions of inattention (IN) and hyperactivity/impulsivity (H/I), a three-factor model reflecting inattention, hyperactivity, and impulsivity, and a single-factor model of all ADHD symptoms. Exploratory factor analysis (EFA) was subsequently used to examine the latent structure of the data. Results: For parent ratings, the two-factor and three-factor models were marginally acceptable according to several widely used fit indices, whereas the one-factor model failed to meet minimum thresholds for goodness-of-fit. For teachers, none of the models was a solid fit for the data. Maximum likelihood EFAs resulted in satisfactory two-and three-factor models forboth parents and teachers, although all models contained several moderate cross loadings. Factor loadings were generally concordant with those published for older children and community-based samples. Conclusion: ADHD subtypes according to current DSM-IV specifications may not be the best descriptors of the disorder in the preschool age group.
引用
收藏
页码:621 / 633
页数:13
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