Sempere-Tortosa Mireia, Fernández-Carrasco Francisco, Navarro-Soria Ignasi, Rizo-Maestre Carlos
Department of Computer Science and Artificial Intelligence, University of Alicante, 03690 Alicante, Spain.
Development Psychology and Teaching Department, University of Alicante, 03690 Alicante, Spain.
Int J Environ Res Public Health. 2021 Apr 7;18(8):3870. doi: 10.3390/ijerph18083870.
Attention deficit hyperactivity disorder is the most common neuropsychological disorder in childhood and adolescence, affecting the basic psychological processes involved in learning, social adaptation and affective adjustment. From previous research, the disorder is linked to problems in different areas of development, with deficiencies in psychological processes leading to the development of the most common characteristics of the disorder such as inattention, excess of activity and lack of inhibitory control. As for the diagnosis, in spite of being a very frequent disorder, there are multiple controversies about which tools are the most suitable for evaluation. One of the most widespread tools in the professional field is behavior inventories such as the Strengths and Difficulties Questionnaires for Parents and Teachers or the ADHD Rating Scale-V. The main disadvantage of these assessment tools is that they do not provide an objective observation. For this reason, there are different studies focused on recording objective measures of the subjects' movement, since hyperkinesia is one of the most characteristic symptoms of this disorder. In this sense, we have developed an application that, using a Kinect device, is capable of measuring the movement of the different parts of the body of up to six subjects in the classroom, being a natural context for the student. The main objective of this work is twofold, on the one hand, to investigate whether there are correlations between excessive movement and high scores in the inventories for the diagnosis of ADHD, Rating Scale-V and Strengths and Difficulties Questionnaire (SDQ) and, on the other hand, to determine which sections of the body present the most significant mobility in subjects diagnosed with ADHD. Results show that the control group, composed of neurotypical subjects, presents less kinaesthetic activity than the clinical group diagnosed with ADHD. This indicates that the experimental group presents one of the main characteristics of the disorder. In addition, results also show that practically all the measured body parts present significant differences, being higher in the clinical group, highlighting the head as the joint with the highest effect size.
注意缺陷多动障碍是儿童和青少年时期最常见的神经心理障碍,会影响学习、社会适应和情感调节等基本心理过程。从以往的研究来看,该障碍与不同发育领域的问题有关,心理过程的缺陷会导致该障碍最常见特征的出现,如注意力不集中、活动过度和抑制控制不足。至于诊断,尽管这是一种非常常见的障碍,但对于哪种工具最适合评估存在多种争议。专业领域中最广泛使用的工具之一是行为量表,如家长和教师用的长处与困难问卷或多动症评定量表第五版。这些评估工具的主要缺点是它们不能提供客观观察。因此,有不同的研究专注于记录受试者运动的客观指标,因为运动亢进是该障碍最典型的症状之一。从这个意义上说,我们开发了一种应用程序,它使用Kinect设备,能够在教室这一学生的自然环境中测量多达六名受试者身体不同部位的运动。这项工作的主要目标有两个,一方面,研究过度运动与多动症诊断量表(评定量表第五版)和长处与困难问卷(SDQ)得分高之间是否存在相关性,另一方面,确定被诊断为多动症的受试者身体的哪些部位表现出最显著的活动能力。结果表明,由神经典型受试者组成的对照组的动觉活动比被诊断为多动症的临床组少。这表明实验组呈现出该障碍的一个主要特征。此外,结果还表明,几乎所有测量的身体部位都存在显著差异,临床组的差异更大,突出显示头部是效应量最高的关节。