Reh Verena, Schmidt Martin, Lam Le, Schimmelmann Benno G, Hebebrand Johannes, Rief Winfried, Christiansen Hanna
University of Marburg, Germany
University of Marburg, Germany.
J Atten Disord. 2015 Dec;19(12):1034-45. doi: 10.1177/1087054712472981. Epub 2013 Feb 4.
Hyperactivity, one of the core symptoms of ADHD, has been mostly neglected in neuropsychological assessment of childhood ADHD. The neuropsychological Quantified behavior Test (QbTest) separately assesses all three core symptoms of ADHD on a behavioral level. Factor structure of the QbTest and its concurrent and discriminant validity are presented.
An exploratory factor analysis (n = 828 children) was performed. In a second sample (n = 102 children) a Multi-Trait-Multi-Method (MTMM) approach was used for validity analyses.
A three factorial model explained 76 % of the total variance, with the resulting QbTest factors significantly influenced by age and gender. The MTMM approach yielded promising results for discriminant, yet inconsistent findings for concurrent validity between the QbTest and another attention test as well as for Conners' Parent and Teacher Rating Scales.
Results indicate that the QbTest may be helpful for the behavioral assessment of childhood ADHD, yet further studies on its psychometric quality and clinical utility are needed.
多动是注意缺陷多动障碍(ADHD)的核心症状之一,在儿童ADHD的神经心理学评估中大多被忽视。神经心理学量化行为测试(QbTest)在行为层面分别评估ADHD的所有三个核心症状。本文介绍了QbTest的因子结构及其同时效度和区分效度。
进行了探索性因子分析(n = 828名儿童)。在第二个样本(n = 102名儿童)中,采用多特质多方法(MTMM)方法进行效度分析。
一个三因子模型解释了总方差的76%,由此产生的QbTest因子受年龄和性别的显著影响。MTMM方法在区分效度方面取得了有前景的结果,但在QbTest与另一种注意力测试以及康纳斯父母和教师评定量表之间的同时效度方面,结果并不一致。
结果表明,QbTest可能有助于儿童ADHD的行为评估,但仍需要对其心理测量质量和临床效用进行进一步研究。