Saleh Ayman, Fuchs Catherine, Taylor Warren D, Niarhos Frances
a Child and Adolescent Psychiatry , Yale Child Study Center , New Haven , Connecticut , USA.
b Department of Psychiatry and Behavioral Sciences, Child and Adolescent Psychiatry Division, Psychological and Counseling Center , Vanderbilt University Medical Center , Nashville , Tennessee , USA.
J Am Coll Health. 2018 Feb-Mar;66(2):98-105. doi: 10.1080/07448481.2017.1377206. Epub 2017 Oct 13.
Neurocognitive evaluations are commonly integrated with clinical assessment to evaluate adult Attention Deficit Hyperactivity Disorder (ADHD). Study goal is to identify measures most strongly related to ADHD diagnosis and to determine their utility in screening processes.
230 students who were evaluated at the Vanderbilt University Psychological and Counseling Center between July 2013 and October 2015.
We retrospectively examined charts, including clinical diagnosis, family history, childhood parental reported and current self-reported ADHD symptoms, psychiatric comorbidities, and continuous performance test (CPT).
Positive report of childhood and current ADHD symptoms, and lack of comorbid psychiatric symptoms were strongly associated with clinical diagnosis. CPT results were not associated with an ADHD diagnosis. The absence of reported childhood and current ADHD symptoms may serve as a contradictory marker for ADHD diagnosis.
Clinical assessment of ADHD symptoms and ADHD childhood history, but not CPT, contributes to an accurate diagnosis of ADHD in college-aged adults.
神经认知评估通常与临床评估相结合，以评估成人注意力缺陷多动障碍（ADHD）。研究目标是确定与ADHD诊断相关性最强的测量方法，并确定它们在筛查过程中的效用。
2013年7月至2015年10月间在范德比尔特大学心理与咨询中心接受评估的230名学生。
我们回顾性检查了病历，包括临床诊断、家族史、童年时期父母报告的以及当前自我报告的ADHD症状、精神共病情况和连续性能测试（CPT）。
童年和当前ADHD症状的阳性报告以及无共病精神症状与临床诊断密切相关。CPT结果与ADHD诊断无关。未报告童年和当前ADHD症状可能是ADHD诊断的一个矛盾指标。
ADHD症状的临床评估和ADHD童年病史，而非CPT，有助于准确诊断大学年龄成人的ADHD。
