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2013年1月17日 星期四

ADHD Conner Rating Scale

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Overview

An instrument that uses observer ratings and self-report ratings to help assess attention deficit/hyperactivity disorder (ADHD) and evaluate problem behavior in children and adolescents.

Various CRS-R versions offer flexible administration options while also providing the ability tocollect varying perspectives on a child’s behavior from parents, teachers, caregivers, and the childor adolescent.
There are three versions—parent, teacher and adolescent self-report—all of which also have a short and long form available. In addition, there are three screening tools that offer the option of administering a 12-item ADHD Index or the 18-item DSM-IV® Symptom Checklist, or both. These instruments also offer versions for parents, teachers, and adolescents.
How to Use This Test
The CRS-R instruments are used for routine screenings in schools, mental health clinics, residentialtreatment centers, pediatric offices, juvenile detention facilities, child protective agencies, and outpatient settings. The test can help:
  • Measure hyperactivity in children and adolescents through routine screening
  • Provide a perspective of the child’s behavior from those who interact with the child on a daily basis
  • Establish a base point prior to beginning therapy and monitor treatment effectiveness andchanges over time
  • Provide valuable structured and normed information to further support conclusions, diagnoses,and treatment decisions when the parent, teacher, and self-report scales are combined
Key Features
Based on the original Conners’ Rating Scales, the CRS-R has many advantages, including:
  • A large normative database to help support the instrument’s reliability and validity
  • Multidimensional scales that help assess ADHD and comorbid disorders with links to DSM-IVdiagnostic categories
  • Teacher, parent, and self-report scales in long and short formats
  • Applicability to managed care situations through the quantification and measurement of a variety of behavior problems
Quick Facts
Administer To Parents and teachers of children and adolescents ages 3–17 and adolescent self-report ages 12–17
Reading Level 6th–9th grade (varieswith version)
Completion Time Long Version: 15–20minutes, Short Version: 5–10 minutes
Formats Paper-and-pencil
Scoring Options Hand Scoring
Scales See below
Norms 8,000+ children and adolescents, males and females ages 3 to 17

多動症行為量表測定(adhd量表)
為了使兒童多動症患兒的病史採集標準化,設計了各種行為量表,常用有美國康納(Conner)設計的簡易多動症量表(可供教師和家長使用),該表可為診斷提供參考:

                                多動症行為量表

項 目
程度(以“√”表示
只一點
很多
動個不停
0
1
2
3
容易興奮衝動
0
1
2
3
打擾其他小孩
0
1
2
3
做事有頭無尾
0
1
2
3
坐不住
0
1
2
3
注意力集中時間短,容易隨環境轉移
0
1
2
3
要求必須立即滿足
0
1
2
3
好大聲叫喊
0
1
2
3
情緒改變快
0
1
2
3
脾氣爆發(爆發性和不可預料的行為)
0
1
2
3
注:記分方法:無 0;只一點 1;多 2;很多 3
 總分15分和15分以上者,就有多動症可能,分數越高則可能性越大。

全國中藥學會ADHD研究協作組評分量表

主要临床症状                                                       评分
1)主动注意力涣散                                                                  
A:注意渙散,上課東張西望,講課聽不進                                     
B:注意短暂,作业不专心,很容易分心                                        
C:做事不能持久,常从一项活动转向另一活动                            
2)活动过多
D:活动过多,在家翻箱倒柜,拆卸玩具特品等                                   
E:上课小动作多,下课先往外冲跑,放学不按时回家                      
F:走路常以跑代行                                                                                  
G:说话多,好插嘴,干忧别人说话                                                     
H:上课,做作业时难以保持静坐                                                      
(3)学习困难
I:学习成绩不稳定,时好时坏或逐年下降,学习困难                         
J:書寫()、理解()、計算()、有偏差或缺陷()
語文分數:平時考分()、期未考分()
數學分數:平時考分()期未考分()
書 寫:潦草() 工整()
常伴临床症状
4)冲动任性  
K:冲动任性,性情急躁,易激惹,易兴奋,爱发脾气                         
L:常不顾危险和后果,爬墙登高,追攀车辆                                      
M:做事莽撞,惹事生非,常铤而走险                                              
(5)行为问题
N:不守纪律和制度的约束,严责、打骂也无用                                   
O:说谎话蒙骗家长、教师,粗暴无礼                                               
P:严重者则打架、斗殴、偷窃、不正当性行为,甚至违法                    
6)其它表现
以上根據程度分為4級:0(無)、1(只一點)、2(多)、3(很多)。選擇其一填在()內。
診斷標準
(1)行為量表總分≥20,即為陽性。
(2)主要臨床症狀中的1、2、3是診斷的主要依據。
(3)起病于7歲以前,病程持續半年以上。
(4)能排除其它精神障礙性疾患。



Behavior Checklist (行為評量表) 的內容 :


1. Have I behaved appropriately during all my classes today?
(今天整體上我能否在所有課堂上有合宜的表現?)

2. Have I not called out while my teacher was teaching?
(老師授課時,我是否需要老師呼喚我的名字來提示我作該作的事?)

3. Have I looked at, and listened to my teacher while she was teaching?
(我有沒有專注的望著老師,並留心聆聽他 /她的教學?)

4. Have I put up my hand when I wanted to ask a question?
(我有沒有在發問前先舉手?)

5. Have I completed all the work my teacher gave me to do?
(我有沒有完成所有老師要我做的堂課?)

6. Have I remembered to bring all my things for class today?
(我有沒有帶齊上課所需要用的東西?)

7. Have I walked down the hall quietly?
(在轉堂 / 轉課室 / 排隊時我有沒有安靜的守秩序?)

8. Have I been polite and helpful today?
(今天我對人是否有禮貌?有幫助別人嗎?)

9. Have I played fair during recess today?
(今天我在小息時有遵守遊戲的規則,能與人和陸相處嗎?)

10. Have I wrote in my handbook today?
(今天我有沒有抄好家課冊?)

* 翻譯並不是我的強項,若有錯漏歡迎指正!


評分原則:

在1至10項良好行為中,能全完做到得1分,大部分時間做到得2分,未能做到就得0分。

能獲得:

6分以上: 有一顆星
8分以上: 有兩顆星
10 分以上:有三顆星










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