儿童焦虑敏感性指数量表的临床应用

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1、【科研论著】文章竦号土100S-6579(2012)04-0330-03儿童焦虑敏感性指数董表的临床应用任芳•张劲松(上海交通大学医学觀附属好华医院儿童与膏少年保縫科，上海市环境与儿tStM*点实診寧，上海200092)中图分类号点749.94文献标识国tA摘要：【目的】研究儿章條虑敏感性宿数(childhoodanxietysensitivityindex,CAS〉域表在儿童和脊少年悄绪障硏中的应用，评价其敏協性和祎异性.【方法】随机选取上禅交通大学医学院附属新华医院心夹门诊及儿保门诊就诊的患儿238人填写CAS!址衣•年龄9-17岁.其中9〜】6岁崽儿同时填写儿童保虑性1#绪障碍筛夜表(

2、screenforchildanxietyrelatedemotionaldisorders•SCARED)和儿jfc抑郁璋砰自评litAdepressionself-rulingscaleforchildren^DSRSC)4统计分折采用ROC分析等方法’【结黒】ROC分析显示•咧生以9分为划界分,CASI的敏感性为67.6%,持异性为6X9%,女生以11分为划舁分•敏感性为75.0%,待异性为68.4%.能虑组总就丧及各毘子得分均高于对尿组•且差异有统计学意义。CAS1总分与SCARED.DSRSC总分间均呈显著正相关(r=0.77,0.47).【姑论】男生以9分、女生以11分为划界分时

3、,CASI中丈版有良好的墩感性和待只性•可用于临床上燃虑敏感性的熊査.关健词：魚虑敏⑥性；■衰；敏磁性；特异性；儿童Applicationofchildhoodanxietysensitivityindex.RENFangfZHANGJin-song,

4、ai200092.China)AbstractstObjectiveJTostudythewipplicationofchildhoodanxietysensitivityindex(CASl)torle!termincthermo-tionnldisordersamongchildrenandadolescents«itosensitivitynndspecificity.LMethodsJ238childrenaged9一17y«ir筈weredrawnbyrandomfromtheoutpatientclinicofpsychologyandchildandadolescentheal

5、thcaredcparinientinX】n・HuaHospitalAffiliatedtoShanghaiJiaotongUniversityschoolofmedicinetocompleteCASI.Amongthem.thechildrenaged9~16yearscompletedScreenforC-hildAnxietyRelatedEmotionalDisordersSR5>C>.ROCanalystswasadopted.(RcsajtsJROCanalysisyield

6、edasensitivityof67.6%ataspecificityofa64.9%whenthecuttingscorewas9forboysandasensitivityof75.0%ataspecificityof68.4%whenthecuttingscorewas11forgirls.Thetotalscoreandeachfactorscoreofanxietygroupwerehigher(hanthoseofcontrolgroupandlhedifferencesweresignificant.TheCAS1(o(alscorewaspositivecorrelatewi

7、thSCAREDorDSRSCtotalscore(r0.7710.47).fConcfusinns]TheChineseversionofCASIhwwgoodsensitivity合ndspecificitywhenrhecuttingMcorets9forboysand11forgirls.Itcanbeusedtoscreenanxietysensitivityofchildrenandadolesc