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连续性能测试能否预测成年人 ADHD 症状严重程度和 ADHD 表现?

Does the Continuous Performance Test Predict ADHD Symptoms Severity and ADHD Presentation in Adults?

机构信息

Geneva University Hospitals, Switzerland.

University of Geneva, Switzerland.

出版信息

J Atten Disord. 2020 Apr;24(6):840-848. doi: 10.1177/1087054718822060. Epub 2019 Jan 17.

DOI:10.1177/1087054718822060
PMID:30654686
Abstract

Our study aimed to provide empirical evidence on the usefulness of one of the most popular neuropsychological tests, the Continuous Performance Test (CPT), as a marker of ADHD severity and presentations among adults. ADHD participants were recruited in a specialized center for the diagnosis and treatment of adults suffering from ADHD ( = 201). Measures included the CPT3™ and ADHD symptoms using a clinical interview and self-reported measures. Only 51.7% of the participants were classified as likely to have a disorder characterized by attention deficit, such as ADHD, by the CPT. The relationships between CPT variables and ADHD symptoms were small. The classification error was 80.3% for the inattentive presentation and 22.5% for the hyperactive presentation when using the CPT to identify ADHD presentations. There was no evidence of the clinical utility of the CPT to assess or monitor ADHD in adult populations diagnosed and treated for ADHD.

摘要

我们的研究旨在提供实证证据,证明最受欢迎的神经心理学测试之一——连续性能测试(CPT)作为成人注意力缺陷多动障碍(ADHD)严重程度和表现的标志物的有用性。ADHD 参与者是在专门的成人 ADHD 诊断和治疗中心招募的(n=201)。测量包括 CPT3™和使用临床访谈和自我报告措施评估 ADHD 症状。只有 51.7%的参与者被 CPT 归类为可能存在注意力缺陷等障碍,如 ADHD。CPT 变量与 ADHD 症状之间的关系较小。使用 CPT 识别 ADHD 表现时,对注意力不集中表现的分类错误为 80.3%,对多动表现的分类错误为 22.5%。没有证据表明 CPT 在评估或监测 ADHD 方面对被诊断和治疗为 ADHD 的成年人群具有临床效用。

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