目的 初步探讨整合视听持续性操作测试(IVA-CPT)对注意缺陷多动障碍(ADHD)的辅助诊断效力,为临床更好地诊断ADHD提供途径。方法 应用IVA-CPT系统、Conners父母用简明症状问卷、中国韦氏儿童智力测验以及美国精神障碍诊断和统计手册第4版(DSM-Ⅳ)中诊断ADHD的标准,对73例病例组患儿以及41名对照组健康儿童评估,比较两组IVA-CPT的差异,以及IVA-CPT与DSM-IV对病例组分型的差异。结果 病例组和对照组在IVA-CPT测试结果上差异有统计学意义(P<0.05);病例组中IVA-CPT评估分型与DSM-IV诊断标准分型,差异无统计学意义(P>0.05)。结论 IVA-CPT可以做为辅助诊断ADHD的有效工具。
Abstract
Objective To preliminarily test the diagnostic efficacy of integrated visual and auditory continuous performance test (IVA-CPT) in attention deficit hyperactivity disorder (ADHD),in order to provide a pathway for better clinical diagnosis of ADHD. Methods The diagnostic and statistical manual of mental disorders fourth edition (DSM-Ⅳ) was used as diagnosis standard,73 cases with clinical diagnosis of ADHD by Conners Parent Symptom Questionnaire(PSQ),Chinese Wechsler intelligence scale for children and IVA-CPT and 41 healthy children were tested;Then the result of IVA-CPT between the two groups and the differences between IVA-CPT type and DSM-IV type in the case group were compared. Results The difference on IVA-CPT result between the case group and the control group was statistically significant (P<0.05).The differences of IVA-CPT type and DSM-IV type in the case group were not statistically significant (P>0.05). Conclusion IVA-CPT may be an affective tool to help clinical doctor to auxiliarily diagnose ADHD.
关键词
注意缺陷多动障碍 /
整合视听持续性操作测试 /
诊断效力
Key words
attention deficit hyperactivity disorder /
integrated visual and auditory continuous performance test /
diagnostic validity
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Berger I,Remington A,Leitner Y,et al.Brain development and the attention spectrum[J].Front Hum Neurosci,2015,23(9):3389.
[2] Wankerl B,Hauser J,Makulska E,et al.Neurobiology of attention-deficit hyperactivity disorder[J].Fortschritte der Neurologie,Psychiatrie,2014,82(1):9-29.
[3] Ogundele MO,Ayyash HF,Banerjee S.Role of computerised continuous performance task tests in ADHD[J].Prog Neural Psychiatr,2011,15(3):8-13.
[4] Kathleen K,Jenny G,Melissa M.Systematic review of risk factors associated with attention deficit hyperactivity disorder[J].Journal of Analytical Research in Clinical Medicine,2014,2(4):159-166.
[5] Arble E,Kuentzel J,Barnett D.Convergent validity of the Integrated Visual and Auditory Continuous Performance Test (IVA+Plus):associations with working memory,processing speed,and behavioral ratings[J].Arch Clin Neuropsychol,2014,29(3):300-312.
[6] Matuschek T,Jaeger S,Stadelmann S,et al.Implementing the K-SADS-PL as a standard diagnostic tool:effects on clinical diagnoses[J].Psychiatry Res,2016,236:119-124.
[7] Albre B.ADHD history of the concept:the case of the continuous performance test[J].Curr Dev Disord Rep,2015,2(1):10-22.
[8] Ancin I.Sustained attention as a potential endophenotype for bipolar disorder[J].Acta Psychiatr Scand,2010,122(3):235-245.
[9] Moss R,Finkelmeyer A,Robinson L,et al.The impact of target frequency on intra-individual variability in euthymic bipolar disorder:a comparison of two sustained attention tasks[J].Front Psychiatry,2016,7:106.
[10] Roth M,Hong L,McMahon R.et al.Comparison of the effectiveness of Conners' CPT and the CPT-identical pairs at distinguishing between smokers and nonsmokers with schizophrenia[J].Schizophr Res,2013,148(1-3):29-33.
[11] Berger I,Cassuto H.Usefulness and validity of continuous performance tests in the diagnosis of attention-deficit hyperactivity disorder children[J].Arch Clin Neuropsychol,2017,32(1):81-93.
[12] Hall C.The clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring ADHD in children:a systematic review[J].Eur Child Adolesc Psychiatry,2016,25(7):677-699.
[13] Kim J.The utility of quantitative electroencephalography and integrated visual and auditory continuous performance test as auxiliary tools for the attention deficit hyperactivity disorder diagnosis[J].Clin Neurophysiol,2015,126(3):532-540.
[14] Cassuto H,Berger I.Using environmental distractors in the diagnosis of ADHD[J].Front Hum Neurosci,2013,7:805.
[15] Berger I,Goldzweig G.Objective measures of attentiondeficit/hyperactivity disorder-a pilot study[J].Isrl Med Assoc J,2010,12(9):531-535.
[16] Campo N,Muller U,Sahakian B.Neural and behavioral endophenotypes in ADHD[J].Curr Top Behav Neurosci,2012,11:65-91.
基金
浙江省自然科学基金资助项目(4H090012)