Department of Neuropsychology & Psychopharmacology, Faculty of Psychology and Neuroscience, Maastricht University, The Netherlands.
Department of Neurological Learning Disabilities, Kempenhaeghe, Heeze, The Netherlands.
Child Neuropsychol. 2024 May;30(4):539-550. doi: 10.1080/09297049.2023.2226351. Epub 2023 Jun 22.
The triple pathway model suggests that different neuropsychological factors underlie symptoms of inattention (i.e., time, cognition and/or motivation problems). However, screening instruments asking individuals to judge the link between these neuropsychological factors and inattention are lacking. The recently developed screening questionnaire, PASSC, aims to examine these factors possibly causing inattention by asking parents to indicate to what extent their child experiences inattention symptoms and to what extent different neuropsychological factors explain this inattention. The present study extends prior validation research of the PASSC by examining associations between PASSC inattention explained by time, cognition, and/or motivation and children's performance on tests measuring these same three constructs. Results indicated positive correlations between PASSC inattention explained by time and less accurate performance on a time discrimination test, and between PASSC inattention explained by cognition and more working memory errors as well as higher attention switching costs. Furthermore, children whose parents indicated that their inattention was best explained by cognition showed higher switching costs than children whose inattention was best explained by motivation. This support for construct validity of the PASSC is limited to two PASSC explanations (i.e., time, cognition) and a subset of tests (i.e., time discrimination, attention switching, memory span). Future research should focus on integrating PASSC and performance test results to differentiate between children with attention problems but different underlying neuropsychological problems. Concluding, the PASSC can be a promising screening tool to identify inattention in children and the underlying explanation indicated by parents.
三重途径模型表明,不同的神经心理学因素是注意力不集中症状的基础(即时间、认知和/或动机问题)。然而,目前缺乏要求个体判断这些神经心理学因素与注意力不集中之间联系的筛查工具。最近开发的筛查问卷 PASSC,旨在通过询问父母孩子的注意力不集中症状的严重程度以及不同的神经心理学因素在多大程度上解释了这种注意力不集中,来检查可能导致注意力不集中的这些因素。本研究通过检查时间、认知和/或动机解释的 PASSC 注意力不集中与测量这些相同三个结构的测试中儿童表现之间的关联,扩展了 PASSC 的先前验证研究。结果表明,时间解释的 PASSC 注意力不集中与时间辨别测试中准确性较低之间存在正相关,认知解释的 PASSC 注意力不集中与更多的工作记忆错误以及更高的注意力转换成本之间存在正相关。此外,父母表示其注意力不集中主要由认知解释的儿童比注意力不集中主要由动机解释的儿童表现出更高的转换成本。PASSC 的结构有效性仅得到了两个 PASSC 解释(即时间、认知)和部分测试(即时间辨别、注意力转换、记忆广度)的支持。未来的研究应重点整合 PASSC 和表现测试结果,以区分具有不同潜在神经心理学问题的注意力问题儿童。总之,PASSC 可以成为一种有前途的筛查工具,用于识别儿童的注意力不集中以及父母所指出的潜在解释。