Zelnik Nathanel, Bennett-Back Odeya, Miari Wahib, Goez Helly R, Fattal-Valevski Aviva
The Department of Pediatrics, Carmel Medical Center and the B. Rappaport Faculty of Medicine, Technion, Haifa, Israel.
J Child Neurol. 2012 Jun;27(6):703-7. doi: 10.1177/0883073811423821. Epub 2012 Feb 28.
The diagnosis of attention-deficit hyperactivity disorder (ADHD) is occasionally biased by the subjectivity of symptoms and reports of parents and teachers. The advent of continuous performance tests raised expectations that the diagnosis of ADHD will be more standardized and accurate. In this study, the authors looked for the validity of the ADHD scores obtained by the Test of Variables of Attention in 230 children who were referred to their ADHD clinic between 2005 and 2007. Based on clinical evaluations, 179 children were diagnosed with affirmed or suspected ADHD. Among the 179 children with ADHD, the Test of Variables of Attention was suggestive of ADHD in 163 participants (91.1% sensitivity), but it was also suggestive for ADHD in 78.4% of the children without ADHD. With a low specificity of 21.6%, the authors feel that the Test of Variables of Attention is not reliable enough to serve as a screening diagnostic tool for ADHD.
注意缺陷多动障碍（ADHD）的诊断有时会因症状的主观性以及家长和教师的报告而产生偏差。连续性能测试的出现让人期望ADHD的诊断将更加标准化和准确。在本研究中，作者对2005年至2007年间被转诊至其ADHD诊所的230名儿童进行了注意力变量测试（Test of Variables of Attention），以探寻该测试所得ADHD分数的有效性。基于临床评估，179名儿童被诊断为确诊或疑似ADHD。在这179名患有ADHD的儿童中，注意力变量测试表明163名参与者患有ADHD（敏感性为91.1%），但在没有ADHD的儿童中，该测试也表明78.4%的儿童患有ADHD。由于特异性低至21.6%，作者认为注意力变量测试作为ADHD的筛查诊断工具不够可靠。
