Takahashi Nagahide, Ono Tomihiro, Omori Yuka, Iizumi Misuzu, Kato Hidekazu, Kasuno Shinichi, Persing Barry, Tsuchiya Kenji J
Department of Child and Adolescent Psychiatry, Nagoya University Hospital, Nagoya, Japan.
Research Center for Child Mental Development, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Front Psychiatry. 2024 Aug 22;15:1407703. doi: 10.3389/fpsyt.2024.1407703. eCollection 2024.
Executive functions are important factors that affect the well-being of children with ADHD. Therefore, inclusion of a convenient assessment of executive dysfunction in diagnosis and treatment of ADHD patients is warranted. However, executive dysfunction assessment presently relies on lab-based neuropsychological tests and symptom rating scales. The present study examined the potential of a 3-D action puzzle video game to reflect ecologically valid executive functioning in pediatric ADHD patients.
Participant gameplay metrics were compared to both their Cambridge Neuropsychological Test Automated Battery (CANTAB) and Conners 3 Parent Form's executive functioning subscale scores. Participants consisted of 33 ADHD and non-ADHD patients aged 8-21.
Metrics from gameplay were associated with distinct CANTAB test scores, and a composite score from gameplay was significantly correlated with executive dysfunction from Conners 3.
For children with ADHD, cognitive domains related to executive function and overall real-life executive functioning appear to both be measurable via video games. It may be possible to develop individualized behavioral therapy based on the quantitative data obtained from the video game used in this study.
执行功能是影响多动症儿童幸福感的重要因素。因此，在多动症患者的诊断和治疗中纳入对执行功能障碍的便捷评估是必要的。然而，目前执行功能障碍评估依赖于基于实验室的神经心理学测试和症状评定量表。本研究考察了一款3D动作解谜视频游戏反映儿科多动症患者生态有效执行功能的潜力。
将参与者的游戏玩法指标与其剑桥神经心理测试自动化成套测验（CANTAB）分数以及康纳斯父母问卷第三版执行功能分量表分数进行比较。参与者包括33名8至21岁的多动症和非多动症患者。
游戏玩法指标与不同的CANTAB测试分数相关，游戏玩法综合分数与康纳斯父母问卷第三版中的执行功能障碍显著相关。
对于多动症儿童，与执行功能相关的认知领域和整体现实生活中的执行功能似乎都可以通过视频游戏进行测量。基于本研究中使用的视频游戏获得的定量数据，有可能开发个性化行为疗法。
