Clinical Psychology, Michigan School of Psychology, Farmington Hills, MI, USA.
Appl Neuropsychol Adult. 2024 Sep-Oct;31(5):984-993. doi: 10.1080/23279095.2022.2102923. Epub 2022 Jul 27.
In this study, the utility of the Comprehensive Trail Making Test (CTMT) and WAIS-IV working memory (WMI) and processing speed (PSI) indices in assessment of ADHD were examined. Using retrospective analysis of data from two private practices, patients were classified as having ADHD, having another psychiatric disorder, or having comorbid ADHD and other psychiatric disorder. Results indicated that significant differences existed in performance across the three groups [(6, 246) = 3.38, = .003; Pillai's Trace = 0.152, partial = 0.076] on CTMT scores ( < .05), WMI scores ( ≤ .001) and PSI scores ( < .05). Logistic regression analyses indicated WMI and CTMT trail 5 scores were individually useful indicators in identifying the presence of ADHD. Analysis also indicated minimal increase in correct classification of presence or absence of ADHD through combining CTMT, WMI, and PSI scores. Clinical implications for neuropsychological assessment and differential diagnosis of ADHD are discussed.
本研究旨在探讨综合连线测试（CTMT）和韦氏智力量表第四版（WAIS-IV）工作记忆（WMI）和处理速度（PSI）指数在 ADHD 评估中的应用。通过对两家私人诊所数据的回顾性分析，将患者分为 ADHD 患者、其他精神障碍患者和 ADHD 合并其他精神障碍患者。结果表明，三组患者在 CTMT 评分（6, 246）= 3.38， =.003；Pillai 迹= 0.152，部分 = 0.076）、WMI 评分（≤.001）和 PSI 评分（<.05）上存在显著差异。逻辑回归分析表明，WMI 和 CTMT 第 5 项测试成绩是识别 ADHD 存在的个体有用指标。分析还表明，通过结合 CTMT、WMI 和 PSI 评分，对 ADHD 的存在或缺失的正确分类仅有微小的增加。讨论了神经心理学评估和 ADHD 鉴别诊断的临床意义。
