a Department of Neuropsychology , Kennedy Krieger Institute , Baltimore , MD , USA.
Clin Neuropsychol. 2014;28(1):26-48. doi: 10.1080/13854046.2013.863978. Epub 2013 Dec 17.
Comprehensive neuropsychological assessments for youth with ADHD allow for thorough consideration of co-occurring disorders and provide targeted recommendations for treating ADHD and comorbid conditions. This study offers a preliminary evaluation of the added value (compared to routine care) associated with neuropsychological assessment in the identification and treatment of ADHD in youth ages 3-17 years. First we describe a novel measure developed to evaluate broad-based outcomes for youth with ADHD following neuropsychological assessment. Next we compare parent ratings of child symptoms and quality of life between two groups of youth with ADHD: those who have recently received neuropsychological assessments (NP+), and those who have not (NP-). Participants were surveyed again 5 months after baseline to assess changes in symptoms, quality of life, and service utilization. While both groups experienced significant improvements in behavioral/emotional symptoms, the NP+ group had greater initiation of parent behavior management training and special education services and greater initiation of medication management over the follow-up period, compared with the NP- group. Satisfaction with neuropsychological assessment was high overall but slightly decreased over the course of the follow-up period. The findings offer preliminary support for the incremental efficacy of neuropsychological evaluation in the diagnosis and management of ADHD.
对患有 ADHD 的年轻人进行全面的神经心理学评估可以彻底考虑同时存在的疾病，并为治疗 ADHD 和合并症提供针对性建议。本研究初步评估了神经心理学评估在识别和治疗 3-17 岁患有 ADHD 的年轻人方面的附加价值（与常规护理相比）。首先，我们描述了一种新的衡量标准，用于评估神经心理学评估后患有 ADHD 的年轻人的广泛结果。接下来，我们比较了两组 ADHD 青少年的父母对孩子症状和生活质量的评分：最近接受神经心理学评估的（NP+）和未接受的（NP-）。参与者在基线后 5 个月再次接受调查，以评估症状、生活质量和服务利用的变化。虽然两组的行为/情绪症状都有显著改善，但与 NP-组相比，NP+组在随访期间更开始进行父母行为管理培训和特殊教育服务，以及更开始进行药物管理。对神经心理学评估的满意度总体较高，但在随访过程中略有下降。这些发现初步支持了神经心理学评估在 ADHD 诊断和管理方面的附加疗效。
