Berger Itai, Goldzweig Gil
Neuro-Pediatric Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Isr Med Assoc J. 2010 Sep;12(9):531-5.
Most aspects of attention-deficit/hyperactivity disorder diagnosis rely on subjective judgment. Computerized continuous performance tests are designed to improve the validity of the process but are controversial due to low odds ratios. There is a need to find more definitive measures of assessment.
To test the validity and reliability of a new tool, a computerized continuous performance functions test, which includes a multi-task approach designed to achieve a higher odds ratio of assessment.
We applied this test to 58 children aged 6-12 years: 45 were diagnosed as ADHD and 13 non-ADHD children served as a control group.
The CPF test was able to differentiate between non-ADHD and ADHD children. CPF test results were more accurate than other continuous performance tests. The results were statistically significant in all test parameters, confirming the test's validity and reliability.
The CPF test includes a combination of tasks based on an algorithm designed to test several domains of attention. In this pilot study the CPF test was found to be a valid and reliable tool for the diagnosis of ADHD in children. This test might increase the diagnostic utility of computerized tests. The research points to the need for developing a more definitive process for ADHD diagnosis.
注意缺陷多动障碍诊断的大多数方面依赖主观判断。计算机化连续操作测试旨在提高诊断过程的有效性，但由于比值比低而存在争议。需要找到更具确定性的评估方法。
测试一种新工具——计算机化连续操作功能测试的有效性和可靠性，该测试采用多任务方法，旨在获得更高的评估比值比。
我们将此测试应用于58名6至12岁的儿童：45名被诊断为注意缺陷多动障碍，13名非注意缺陷多动障碍儿童作为对照组。
CPF测试能够区分非注意缺陷多动障碍儿童和注意缺陷多动障碍儿童。CPF测试结果比其他连续操作测试更准确。所有测试参数的结果均具有统计学意义，证实了该测试的有效性和可靠性。
CPF测试包括基于旨在测试多个注意力领域的算法的任务组合。在这项初步研究中，CPF测试被发现是诊断儿童注意缺陷多动障碍的有效且可靠的工具。该测试可能会提高计算机化测试的诊断效用。该研究指出需要为注意缺陷多动障碍诊断开发更具确定性的流程。
