A comparison of assessment on symptoms of ADHD by elementary teachers and child psychiatrisis in Guangzhou

Abstract

目的: 本研究使用“过度活跃症状检查量表 (SNAP)” ,比较广州市芳村小学的老师与广州市精神病医院的精神专科医生对多动症儿童注意缺陷和多动行为表现的评估 ,了解小学老师和SNAP量表在我们以后将进行的有关儿童多动症 (ADHD)研究中的作用。 方法: 使用SNAP症状量表 ,让精神专科医生和在职前以及在职老师 (每组各 30位 )分别对同一录像带上多动症患儿的表现进行症状评估 ;采用SPSS统计软件对评定结果进行统计。 结果: 三者整体比较结果显示 :广州市精神病医院临床医生、在职前老师和在职老师大部分评定结果一致 ,差异无显著性 ;少数症状项目评分不一致 ,进一步两两比较发现主要是在职前老师和医生间存在差异。 结论: 经验丰富的小学老师对儿童多动症的SNAP量表评定可以作为专科医生诊断和评定治疗疗效的重要参考资料。 Objective: To compare the assessments on hyperkinetic syndrome of ADHD between teachers and psychiatrists,in order to determine their roles in our later study about ADHD. Method: Pediatric psychiatrists from Guangzhou psychiatric hospital and pre-occupational or experienced teachers from Fangcun elementary school(30 in each group)rated the presence and degree of hyperactive-disruptive behaviors in a standardized videotape,showing one 7-year-old boy who participated in individual and group activities.The results were compared between each group. Results: There was no significant difference on most of the assessments between psychiatrists and experienced teachers.The assessments of pre-occupational teachers had significant differences to the results of the above two groups. Conclusion: The assessments of experienced teachers may be used as very important information on the early diagnosis and the assessments of effectiveness of medical intervention for ADHD children.