Department of Clinical and Developmental Neuropsychology, Faculty of Behavioral and Social Sciences, University of Groningen, 9712 TS Groningen, The Netherlands.
Department of Psychiatry and Psychotherapy, University Medical Center Rostock, 18147 Rostock, Germany.
Int J Environ Res Public Health. 2022 Apr 25;19(9):5216. doi: 10.3390/ijerph19095216.
: The present study compares the utility of eight different tests of vigilance and sustained attention in the neuropsychological examination of adults with Attention-deficit/hyperactivity disorder (ADHD). : Thirty-one adults diagnosed with ADHD performed eight tests for vigilance and sustained attention, spread over three assessment days. : Adults with ADHD showed cognitive impairments in most tests and test variables, even though their sensitivity differed greatly. No specific type of test variable stands out to be the most sensitive, and no evidence for a differential deterioration of performance over time was observed. : This study underscores the role of vigilance and sustained attention tests in the assessment of adult ADHD. It is further concluded that summary scores over the entire test duration are sufficient, but that all variables of a test should be considered. Finally, we hypothesize that reassessment on a different day may benefit a more accurate clinical assessment of adults with ADHD, in order to adequately take intraindividual fluctuations and limitations regarding test reliability into account.
本研究比较了 8 种不同的警觉性和持续性注意力测试在成人注意力缺陷/多动障碍（ADHD）神经心理学检查中的效用。31 名被诊断为 ADHD 的成年人在三次评估日中完成了 8 种警觉性和持续性注意力测试。尽管 ADHD 成年人的敏感性差异很大，但他们在大多数测试和测试变量中都表现出认知障碍。没有特定类型的测试变量表现出最敏感，也没有观察到随着时间的推移表现出的差异恶化。本研究强调了警觉性和持续性注意力测试在成人 ADHD 评估中的作用。进一步的结论是，在整个测试期间的综合分数是足够的，但应该考虑测试的所有变量。最后，我们假设在不同的日子进行重新评估可能会使对 ADHD 成年人进行更准确的临床评估受益，以充分考虑个体内波动和测试可靠性的局限性。
