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两种用于识别注意力缺陷多动障碍的持续操作测试的比较:传统测试与虚拟现实测试。

Comparison between two continuous performance tests for identifying ADHD: Traditional vs. virtual reality.

作者信息

Rodríguez Celestino, Areces Débora, García Trinidad, Cueli Marisol, González-Castro Paloma

机构信息

Universidad de Oviedo, Spain.

出版信息

Int J Clin Health Psychol. 2018 Sep-Dec;18(3):254-263. doi: 10.1016/j.ijchp.2018.06.003. Epub 2018 Aug 6.


DOI:10.1016/j.ijchp.2018.06.003
PMID:30487931
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6225036/
Abstract

Continuous Performance Tests (CPTs) have demonstrated validity when differentiating children with ADHD from healthy controls. However, these CPTs have limitations such as low ecological validity. New CPTs based on the use of Virtual Reality (VR) have appeared as supposedly improved methods for assessing ADHD. This study aims to compare the discriminant value of attentional variables produced by a VR CPT (Aula Nesplora) with that of variables from a traditional CPT (Test of Variables of Attention; TOVA) for identifying ADHD A total of 338 children aged between 6 and 16 years old ( = 10.84, = 3.01) participated in the study: 31.95% correspond to the inattentive presentation, 15.38% to the impulsive-hyperactive presentation, 22.78% to the combined presentation, and the remaining 29.88% correspond to children without ADHD. Results indicated that Aula Nesplora predicts ADHD presentations better than TOVA. It also differentiates better between ADHD and non-ADHD students. These findings show the potential advantages of using virtual reality in ADHD assessment, as it facilitates the diagnosis of ADHD and the differentiation of its presentations in a realistic environment.

摘要

连续性能测试(CPTs)在区分患有注意力缺陷多动障碍(ADHD)的儿童与健康对照组时已证明其有效性。然而,这些CPTs存在局限性,如生态效度较低。基于虚拟现实(VR)使用的新型CPTs已作为评估ADHD的改进方法出现。本研究旨在比较虚拟现实CPT(奥拉·内斯普洛拉)产生的注意力变量与传统CPT(注意力变量测试;TOVA)的变量在识别ADHD方面的判别价值。共有338名6至16岁的儿童(平均年龄 = 10.84,标准差 = 3.01)参与了该研究:31.95%为注意力不集中型,15.38%为冲动多动型,22.78%为混合型,其余29.88%为无ADHD的儿童。结果表明,奥拉·内斯普洛拉比TOVA能更好地预测ADHD类型。它在ADHD学生和非ADHD学生之间的区分也更好。这些发现显示了在ADHD评估中使用虚拟现实的潜在优势,因为它有助于在现实环境中对ADHD进行诊断及其类型的区分。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c096/6225036/655e78d45345/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c096/6225036/655e78d45345/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c096/6225036/655e78d45345/gr1.jpg

相似文献

[1]
Comparison between two continuous performance tests for identifying ADHD: Traditional vs. virtual reality.

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[2]
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[3]
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[6]
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[7]
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本文引用的文献

[1]
Psychometric properties of the Conners-3 and Conners Early Childhood Indexes in a Spanish school population.

Int J Clin Health Psychol. 2017

[2]
Substance use in young adults with ADHD: Comorbidity and symptoms of inattention and hyperactivity/impulsivity.

Int J Clin Health Psychol. 2016

[3]
The risk of misdiagnosing posture weakness as hyperactivity in ADHD: a case study.

Atten Defic Hyperact Disord. 2017-12

[4]
Usefulness and Validity of Continuous Performance Tests in the Diagnosis of Attention-Deficit Hyperactivity Disorder Children.

Arch Clin Neuropsychol. 2017-2

[5]
Attention Deficit/Hyperactivity Disorder (ADHD) Diagnosis: An Activation-Executive Model.

Front Psychol. 2016-9-21

[6]
Virtual-reality-based attention assessment of ADHD: ClinicaVR: Classroom-CPT versus a traditional continuous performance test.

Child Neuropsychol. 2017-8

[7]
Efficacy of a Continuous Performance Test Based on Virtual Reality in the Diagnosis of ADHD and Its Clinical Presentations.

J Atten Disord. 2016-2-19

[8]
The clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring ADHD in children: a systematic review.

Eur Child Adolesc Psychiatry. 2016-7

[9]
Age-Related Changes in Distractibility: Developmental Trajectory of Sustained Attention in ADHD.

J Atten Disord. 2015-3-19

[10]
Consequences of ADHD medication use for children's outcomes.

J Health Econ. 2014-9

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