教育生物学杂志2024，Vol.12Issue(3)：180-185,6.DOI:10.3969/j.issn.2095-4301.2024.03.003
视听整合连续测试对不同年龄注意缺陷多动障碍儿童的诊断价值
Diagnostic value of integrated visual and auditory continuous performance test in children with attention deficit and hyperactivity disorder at different ages
沈植旻 1章依文 1余晓丹 1杨友1
作者信息
- 1. 上海交通大学医学院附属上海儿童医学中心发育行为儿科(中国 上海 200127)
- 折叠
摘要
Abstract
Objective To investigate the diagnostic value of integrated visual and auditory continuous performance test(IVA-CPT)in children with attention deficit and hyperactivity disorder(ADHD)at different ages.Methods A total of 604 children aged 6 to 16 years with suspected ADHD from March 2021 to July 2022 were collected.The Diagnostic and Statistical Manual of Mental Disorders,5 th edition(DSM-5)was used as diagnostic criteria to retrospectively analyze the results of IVA-CPT.Children were grouped by age to compare the differences between the two evaluation methods(DSM-5 and IVA-CPT).Results The sensitivity of IVA-CPT was 60.00%-82.22%and the specificity was 51.28%-63.16%.There were average to moderate agreements between DSM-5 and IVA-CPT in the 6-11 years old groups(Kappa=0.275-0.407,P<0.05).The classification results of ADHD in each group by using IVA-CPT showed that the sensitivity of attention deficit type was 51.52%-75.00%and the specificity was 52.63%-68.89%;the sensitivity of hyperactivity/impulsivity type was 40.90%-66.67%and the specificity was 55.71%-92.16%;the sensitivity of combined type was 40.00%-62.50%and the specificity was 67.86%-91.38%.There were statistically general agreements between the two assessments in 6-10 years old groups with attention deficit type(Kappa=0.238-0.374,P<0.05)and in 6 years old group with hyperactivity/impulsivity type(Kappa=0.374,P<0.05).Conclusion IVA-CPT is suitable for screening ADHD in children aged 6-10 years.For children aged 11 and above,a comprehensive judgment should be made based on clinical observations and other test results.In classification diagnosis,IVA-CPT has certain auxiliary diagnostic value in children aged 6-10 years with attention deficit type.For children aged 11 and above with attention deficit type and children of all ages with hyperactivity/impulsivity and mixed ADHD,it should be cautious to use IVA-CPT assessment.关键词
视听整合连续测试/注意缺陷多动障碍/DSM-5/儿童Key words
integrated visual and auditory continuous performance test/attention deficit and hyperactivity disorder/DSM-5/children引用本文复制引用
沈植旻,章依文,余晓丹,杨友..视听整合连续测试对不同年龄注意缺陷多动障碍儿童的诊断价值[J].教育生物学杂志,2024,12(3):180-185,6.
