Fuermaier Anselm B M, Fricke Jan A, de Vries Stefanie M, Tucha Lara, Tucha Oliver
a Department of Clinical and Developmental Neuropsychology, Faculty of Behavioral and Social Sciences , University of Groningen , Groningen , The Netherlands.
Appl Neuropsychol Adult. 2019 Jul-Aug;26(4):340-354. doi: 10.1080/23279095.2018.1429441. Epub 2018 Feb 9.
Within the clinical evaluation of adults with attention deficit hyperactivity disorder (ADHD), cognitive functions are often assessed to characterize individual cognitive problems and guide treatment planning. However, the composition of an adequate neuropsychological assessment battery remains difficult given the large number of cognitive functions that can be distinguished, the variety of available tools to assess these functions, as well as the cognitive heterogeneity that has been observed between individuals with ADHD. Twenty-seven clinicians and researchers experienced in working with adults with ADHD took part in the present study. This study employed the Delphi methodology in order to compose an assessment battery for the measurement of the most important neuropsychological functions by employing the most suitable measures to assess these functions. Consensus between experts was achieved on a ranking of 16 neuropsychological functions that are important for the neuropsychological assessment of adults with ADHD. Furthermore, measures were suggested to assess each of the neuropsychological functions. The assessment battery as composed in the present study may support research and clinical practice in the selection of appropriate functions and measures for the determination of the individual level of cognitive functioning and treatment planning of adults with ADHD.
在对患有注意力缺陷多动障碍(ADHD)的成年人进行临床评估时,通常会评估认知功能,以确定个体的认知问题并指导治疗方案的制定。然而,鉴于可区分的认知功能数量众多、评估这些功能的可用工具种类繁多,以及在患有ADHD的个体之间观察到的认知异质性,构建一个充分的神经心理学评估组合仍然具有挑战性。27位在与患有ADHD的成年人打交道方面经验丰富的临床医生和研究人员参与了本研究。本研究采用德尔菲法,通过使用最合适的测量方法来构建一个评估组合,以测量最重要的神经心理学功能。专家们就对患有ADHD的成年人进行神经心理学评估而言重要的16种神经心理学功能的排名达成了共识。此外,还提出了评估每种神经心理学功能的测量方法。本研究构建的评估组合可能会在为确定患有ADHD的成年人的个体认知功能水平和治疗方案选择合适的功能和测量方法方面支持研究和临床实践。