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使用生态瞬时评估法评估注意力缺陷/多动障碍:一项系统综述。

Evaluating attention-deficit/hyperactivity disorder using ecological momentary assessment: a systematic review.

作者信息

Miguelez-Fernandez Carolina, de Leon Santiago J, Baltasar-Tello Itziar, Peñuelas-Calvo Inmaculada, Barrigon María Luisa, Capdevila Alba Sedano, Delgado-Gómez David, Baca-García Enrique, Carballo Juan J

机构信息

Department of Psychiatry, IIS-Jimenez Diaz Foundation, Madrid, Spain.

CIBERSAM (Centro de Investigación en Salud Mental), Carlos III Institute of Health, Madrid, Spain.

出版信息

Atten Defic Hyperact Disord. 2018 Dec;10(4):247-265. doi: 10.1007/s12402-018-0261-1. Epub 2018 Aug 21.

DOI:10.1007/s12402-018-0261-1
PMID:30132248
Abstract

Ecological momentary assessment is an excellent tool for the measurement of different day-to-day domains in patients and capturing real-world and real-time data. The purpose of this review is to evaluate feasibility in current ecological momentary assessment studies on emotional and behavioral functioning, functional impairments, and quality of life patients with an attention-deficit/hyperactivity disorder diagnosis. This systematic review follows the recommendation of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines selecting articles published from January 1, 1990, up to the latest access on May 2018, identifying a pool of 23 eligible studies. Twenty-three studies demonstrate the validity of ecological momentary assessment methodology in evaluating different aspects of patients with attention-deficit/hyperactivity disorder. Fifteen studies focus on the child's or adolescent's daily behavior, while eight studies only focus on adults. The studies presented in this review monitored patients and their families over a maximum period of 28 days. We can conclude that ecological momentary assessment can be successfully implemented with attention-deficit/hyperactivity disorder patients to evaluate diverse backgrounds. However, more studies are needed with a longer monitoring period, especially in adolescents, to determine the effectiveness of ecological momentary assessment on patients with attention-deficit/hyperactivity disorder.

摘要

生态瞬时评估是测量患者不同日常领域以及获取现实世界实时数据的一项出色工具。本综述的目的是评估当前生态瞬时评估研究在诊断为注意力缺陷多动障碍的患者的情绪和行为功能、功能损害及生活质量方面的可行性。本系统综述遵循系统评价和荟萃分析优先报告条目(PRISMA)指南的建议,选取1990年1月1日至2018年5月最新检索到的发表文章,确定了23项符合条件的研究。23项研究证明了生态瞬时评估方法在评估注意力缺陷多动障碍患者不同方面的有效性。15项研究关注儿童或青少年的日常行为,而8项研究仅关注成年人。本综述中的研究对患者及其家庭进行了最长28天的监测。我们可以得出结论,生态瞬时评估能够成功应用于注意力缺陷多动障碍患者,以评估不同背景情况。然而,需要进行更多监测期更长的研究,尤其是针对青少年的研究,以确定生态瞬时评估对注意力缺陷多动障碍患者的有效性。

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