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[儿童和青少年注意力缺陷多动障碍(ADHD)特征的评估工具:文献综述]

[Evaluation tools of the characteristics of attention deficit and hyperactivity disorder (ADHD) in children and adolescents: A literature review].

作者信息

Gamvrouli Maria, Gamvrouli Iro, Triantafyllou Christos

机构信息

General Hospital of Nikaia- Piraeus "Agios Panteleimon", Nikaia, Greece.

Department of Early Childhood Education, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Psychiatriki. 2023 Jul 19;34(2):112-121. doi: 10.22365/jpsych.2021.034. Epub 2021 Aug 10.

Abstract

Attention deficit hyperactivity disorder (ADHD) is one of the most commonly occurring developmental disorders of childhood, which can often be present after adulthood. The main symptoms of ADHD are distraction, impulsiveness, and hyperactivity, which are common in childhood, and for this reason, the diagnosis is usually delayed. At the same time, in several cases, the problems caused by ADHD (such as behavioral and social adjustment problems and problems in school performance) are considered as results of other co-existing situations (such as family problems, environmental change, and developmental pathologies). For this reason, ADHD often remains undiagnosed or misdiagnosed and even when it is accurately diagnosed, a comprehensive model of a combination of therapeutic approaches that are required to treat it, is not always applied. Today, there are a plethora of tests used to assess specific deficits presented by both children and adolescents with ADHD. The purpose of this literature review was to present tools and tests used in the evaluation of children and adolescents with ADHD. Search was performed on PubMed until February 20, 2021, without time limit for the publication of scientific papers. Studies were excluded if they were not published in English language, were conducted on animals and were case studies, editorials, and letters to the editor. Of the scientific papers retrieved, 15 were included in the systematic review. Some of the specialized tests used in the evaluation of children and adolescents with ADHD are the Children's Color Trails Test (CCTT), the Test of Variables of Attention (TOVA), the Continuous Performance Test (CPT), the Conner's' Parent Rating Scale (CPRS), the Child Behavior Checklist (CBCL), the Visual and Auditory Continuous Performance Testing (IVA-CPT), the Visual Analog Scale (VAS), the 30-item Semi-Structured Interview with Parents (CAPA- RAD), the Controlled Oral Word Association Test (COWAT), the Conners' Teacher Rating Scale (CTRS). In conclusion, there are a number of evaluation tools that can be used to evaluate specific deficits presented by children and adolescents with ADHD, as well as to evaluate the course of treatment, but also to distinguish children and adolescents with ADHD from those with other types of cognitive and learning disorders.

摘要

注意力缺陷多动障碍(ADHD)是儿童期最常见的发育障碍之一,成年后也常可出现。ADHD的主要症状为注意力分散、冲动和多动,这些症状在儿童期很常见,因此诊断通常会延迟。同时,在一些情况下,ADHD所导致的问题(如行为和社会适应问题以及学业成绩问题)被认为是其他并存情况(如家庭问题、环境变化和发育性疾病)的结果。因此,ADHD常常未被诊断或误诊,即使被准确诊断,治疗所需的综合治疗方法组合模式也并非总是得到应用。如今,有大量测试用于评估患有ADHD的儿童和青少年所表现出的特定缺陷。本文献综述的目的是介绍用于评估患有ADHD的儿童和青少年的工具和测试。在PubMed上进行检索直至2021年2月20日,对科学论文的发表时间没有限制。如果研究不是用英语发表的、是在动物身上进行的以及是病例研究、社论和给编辑的信,则将其排除。在所检索到的科学论文中,有15篇被纳入系统评价。用于评估患有ADHD的儿童和青少年的一些专业测试包括儿童色线试验(CCTT)、注意力变量测试(TOVA)、持续性操作测试(CPT)、康纳斯父母评定量表(CPRS)、儿童行为量表(CBCL)、视听持续性操作测试(IVA-CPT)、视觉模拟量表(VAS)、30项家长半结构式访谈(CAPA-RAD)、受控口语联想测验(COWAT)、康纳斯教师评定量表(CTRS)。总之,有许多评估工具可用于评估患有ADHD的儿童和青少年所表现出的特定缺陷,以及评估治疗过程,还可用于将患有ADHD的儿童和青少年与患有其他类型认知和学习障碍的儿童和青少年区分开来。

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