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BRIEF 评估的青少年 ADHD 诊断和治疗后的执行功能:问题特征和信息提供者之间的一致性。

[Formula: see text] Executive function measured by BRIEF in adolescents diagnosed and treated for ADHD: problem profiles and agreement between informants.

机构信息

Regional Centre for Child and Youth Mental Health and Child Welfare (RKBU), Department of Mental Health, Faculty of Medicine and Health Sciences, NTNU- Norwegian University of Science and Technology, Trondheim, Norway.

Department of Child and Adolescent Psychiatry, St. Olav University Hospital, Trondheim, Norway.

出版信息

Child Neuropsychol. 2024 Feb;30(1):45-59. doi: 10.1080/09297049.2023.2174506. Epub 2023 Jan 30.

Abstract

Executive functional deficits (EFDs) play an important role in functional impairment in adolescents with attention deficit/hyperactivity disorder (ADHD). More knowledge of executive function (EF) profiles and informant discrepancies will guide clinicians and provide tailored treatment advice. The objectives of this study were to use teacher, parent, and self-reported EF ratings to describe (a) problem profiles and (b) the correlation and agreement between informants. This study included 100 adolescents aged 14-18 years with ADHD still experiencing clinically impairing symptoms despite standard treatment including medication. EFs were measured using (BRIEF). Agreement between informants was quantified using Pearson correlation and informant discrepancies were analyzed using paired samples t-test. Overall, the results indicated considerable EFDs in the study population. Correlation and agreement varied between the informants. Agreement was highest between adolescents and their parents, especially for female participants, and lowest between male participants and their teachers. Teachers reported the highest level of EFDs, whereas adolescents generally self-reported EFDs at a lower level than both parents and teachers. Identifying and tailoring treatment for EFDs might improve future prognosis for adolescents with ADHD, however, self-awareness of these difficulties is a challenge that needs to be considered when planning interventions.

摘要

执行功能缺陷(EFDs)在注意力缺陷/多动障碍(ADHD)青少年的功能障碍中起着重要作用。更多关于执行功能(EF)特征和信息提供者差异的知识将指导临床医生并提供针对性的治疗建议。本研究的目的是使用教师、家长和自我报告的 EF 评分来描述:(a)问题特征;(b)信息提供者之间的相关性和一致性。本研究包括 100 名年龄在 14-18 岁的青少年,他们患有 ADHD,尽管包括药物治疗在内的标准治疗仍存在临床症状。使用 BRIEF 测量 EF。使用 Pearson 相关系数量化信息提供者之间的一致性,并使用配对样本 t 检验分析信息提供者之间的差异。总体而言,研究结果表明研究人群存在相当大的 EFDs。信息提供者之间的相关性和一致性存在差异。青少年与其父母之间的一致性最高,尤其是女性参与者,而男性参与者与他们的老师之间的一致性最低。教师报告的 EFDs 水平最高,而青少年普遍自我报告的 EFDs 水平低于父母和教师。识别和针对 EFDs 进行治疗可能会改善 ADHD 青少年的未来预后,然而,当计划干预措施时,需要考虑到对这些困难的自我意识这一挑战。

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