分析注意力缺陷多动障碍幼儿与事件相关的注意力行为的新型神经心理学测量方法的实用性--一项试点研究。

IF 2.1 4区 心理学 Q2 PSYCHOLOGY
I-Chun Chen, Yu-Qi Zheng, Hui-Xuan Zhao, Li-Chen Lin, Yun-Ju Chen, Meng-Han Chang, Li-Wei Ko
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引用次数: 0

摘要

目的:在学龄前阶段,识别和诊断具有注意缺陷多动障碍(ADHD)特征的儿童具有挑战性。神经心理测量可用于早期评估。此外,对事件相关行为的分析似乎也是临床治疗计划中尚未满足的需求。康纳斯儿童连续表现测验(K-CPT)是最流行、最成熟的神经心理学测量方法,但缺乏事件标记,无法明确儿童的异质性行为。本研究采用了一种新型的市售神经心理学测量方法--ΣCOG,该方法更像游戏,并能为测试中的个别试验提供明确的事件标记:33 名年龄较大的学龄前儿童(14 名被诊断为多动症,平均年龄为(66.21 ± 5.48)个月;19 名表现为典型发育,平均年龄为(61.16 ± 8.11)个月)接受了全面的医疗和发育评估。所有参与者在短时间内接受了两个版本的神经心理学测量,包括 K-CPT 第二版(K-CPT 2)和ΣCOG:研究表明,该新型系统测量的遗漏和反应时间得分与所有参与者和多动症组的行为量表临床测量结果相关;此外,在委托和反应时间得分方面也观察到了与传统 K-CPT 2 的相关性。此外,该系统还提供了任务内行为分析,确定了特定试验中有关遗漏和犯错的群体差异:这一创新系统在临床上是可行的,尤其是在研究中,通过揭示任务内事件相关信息分析,可进一步用作 K-CPT 2 的替代方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Utility of a Novel Neuropsychological Measurement to Analyze Event-Related Attentional Behaviors among Young Children with Attention Deficit Hyperactivity Disorder-a Pilot Study.

Objective: The identification and diagnosis of children with attention deficit hyperactivity disorder (ADHD) traits is challenging during the preschool stage. Neuropsychological measures may be useful in early assessments. Furthermore, analysis of event-related behavior appears to be an unmet need for clinical treatment planning. Conners' Kiddie Continuous Performance Test (K-CPT) is the most popular well-established neuropsychological measurement but lacks event markers to clarify the heterogeneous behaviors among children. This study utilized a novel commercially available neuropsychological measure, the ΣCOG, which was more game-like and provided definite event markers of individual trial in the test.

Methods: Thirty-three older preschool children (14 were diagnosed with ADHD, mean age: 66.21 ± 5.48 months; 19 demonstrated typical development, mean age: 61.16 ± 8.11 months) were enrolled and underwent comprehensive medical and developmental evaluations. All participants underwent 2 versions of neuropsychological measures, including the K-CPT, Second Edition (K-CPT 2) and the ΣCOG, within a short interval.

Results: The study indicated the omissions and response time scores measured in this novel system correlated with clinical measurement of the behavioral scales in all participants and in the group with ADHD; additionally, associations with the traditional K-CPT 2 were observed in commissions and response time scores. Furthermore, this system provided a within-task behavioral analysis that identified the group differences in the specific trial regarding omission and commission errors.

Conclusions: This innovative system is clinically feasible and can be further used as an alternative to the K-CPT 2 especially in research by revealing within-task event-related information analysis.

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来源期刊
CiteScore
4.60
自引率
7.70%
发文量
358
审稿时长
6-12 weeks
期刊介绍: The journal publishes original contributions dealing with psychological aspects of the etiology, diagnosis, and treatment of disorders arising out of dysfunction of the central nervous system. Archives of Clinical Neuropsychology will also consider manuscripts involving the established principles of the profession of neuropsychology: (a) delivery and evaluation of services, (b) ethical and legal issues, and (c) approaches to education and training. Preference will be given to empirical reports and key reviews. Brief research reports, case studies, and commentaries on published articles (not exceeding two printed pages) will also be considered. At the discretion of the editor, rebuttals to commentaries may be invited. Occasional papers of a theoretical nature will be considered.
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