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1、Appendix 1: ADHD Rating ScaleADHD Rating ScaleChilds Name: _Age: _Date: _Completed By: _Parent_Teacher_ Other _For each line below, please put an “x” in the box that best describes the childs behaviour over the last 6 monthsBEHAVIOURAlways orOftenSomewhatRarely orvery oftenNeverFails to give close a
2、ttention to details or makes carelessmistakes in schoolwork/homework.Has dif culty keeping attention on tasks or play activities.Does not seem to listen when spoken to directly.Does not follow through on instructions and fails to nishInattentionschoolwork or chores.effort (e.g., homework)Has dif cul
3、ty organizing tasks and activities.Avoids or strongly dislikes tasks that require sustained mentalLoses things necessary for tasks or activities (e.g., pencils,books, toys, etc).Is easily distracted by outside stimuli.Is forgetful in daily activities.TOTALS for InattentionFidgets with hands or feet
4、or squirms in seat.HyperactivityLeaves seat in situations in which remaining seated isHas dif culty playing quietly.expected (e.g., dinner table).Runs about or climbs in situations where it is inappropriate.Is “on the go” or acts “driven by a motor.”andTalks excessively.Blurts out answers to questio
5、ns before the questions haveImpulsivitybeen completed.Has dif culty awaiting turn.Interrupts others or intrudes on others (e.g., butts into games)TOTALS for Hyperactivity and ImpulsivityWere some of these behaviours present before age 7? Yes _No _ Unsure _ N/A _Sources: (1) American Psychiatric Asso
6、ciation: Diagnostic and Statistical Manual of Mental Disorders. 4th edition. Washington DC: American Psychiatric Assocation; 1994. (2) ICSI Guidelines. Diagnosis and management of attention deficit hyperactivity disorder in primary care for school age children and adolescents Available from: URL:htt
7、p:/www.guideline.gov/ (accessed November 2007). (3) El Camino Pediatrics Available from: URL:http:/ (accessed November 2007). (4) Mor-rison D. Off-task and fidgety. An update on ADHD. The Canadian Journal of CME 2003; February:79-85. The Foundation for Medical Practice Education, www.fmpe.org Februa
8、ry 200815Appendix 1: ADHD Rating Scale contdGUIDE TO INTERPRETATION OF ADHD RATING SCALEUsing the DSM-IV-TR criteria with informationThere are alternative rating scales that have beenfrom multiple sources is the gold standard forvalidated for ADHD. One of these is the 90-itemdiagnosis. These criteri
9、a have ensured a degreeSNAP-IV Teacher and Parent Rating Scale. It isof standardization in the assessment of ADHD.available, along with scoring instructions, forfree down-load from the CADDRA website www.Look first at the number of symptoms in thecaddra.ca.Inattention section in the “Always or very
10、often”and the “Often” columns. To meet the criteriaThe remaining DSM-IV-TR criteria include:for ADHD inattentive sub-type, there must six or Some of these symptoms were present beforemore of these. In other words, the child mustage 7 years.have at least six of these symptoms which have The symptoms
11、are present in two or morepersisted for at least 6 months to a degree thatsettings (e.g., at home and at school). Thus,is maladaptive (significant impairment in social,rating scales are completed by a teacher, asacademic, or occupational functioning) andwell as by a parent.inconsistent with developm
12、ental level.In addition, the DSM criteria state that theLook next at the totals for the Impulsivity andsymptoms must not be caused by anotherHyperactivity section. To be consistent with thepsychiatric disorder (Pervasive Developmentalcriteria for ADHD hyperactive sub-type, six orDisorder, Schizophre
13、nia or other Psychoticmore of these symptoms should be in the “AlwaysDisorder) and/or are not better accounted for byor very often” and the “Often” categories.another disorder (Mood Disorder, Anxiety Disorder,etc).If the criteria for both inattention and hyperactivityare met (i.e., six or more in both), this is an ADHDcombined sub-type. The Foundation for Medical Practice Education, www.fmpe.org February 200816