成人ADHD临床常规评估中的冲动性指标。

IF 3.4 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Hui Dong, Anselm B M Fuermaier, Janneke Koerts, Gerdina H M Pijnenborg, Nana Guo, Ragnar Schwierczok, Norbert Scherbaum, Bernhard W Müller
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引用次数: 0

摘要

成人注意缺陷多动障碍(ADHD)的冲动表现为一个多维结构,而不是一个单一的特征。本研究检验了一个提议的三因素冲动性模型,包括(a)自我报告的冲动性行为(Barratt冲动性量表),(b)委托错误,以及(c)对654名成人进行成人ADHD常规临床评估的神经心理学测试的反应时间测量。通过对分裂子样本的验证性因素分析,我们发现了对提议的三因素结构的一致支持,而网络分析倾向于将基于绩效的措施与基于自我报告的措施分开的两组概念化。自我报告的冲动表现出最高的严重程度,其次是委员会错误,反应时间受到的影响最小。人口统计学和临床特征显著预测自我报告和佣金误差测量,但不影响反应时间。研究结果强调了独立于基于表现的测试来解释自我报告的重要性。任务错误和反应时间变量在相关构念任务之间的一致性表明,在冲动性的临床评估中,管理多个任务可能会产生冗余信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Indicators of Impulsivity in Routine Clinical Assessment of Adult ADHD.

Impulsivity in adult attention-deficit/hyperactivity disorder (ADHD) represents a multidimensional construct rather than a unitary trait. This study examined a proposed three-factor model of impulsivity comprising (a) self-reported impulsive behavior (Barratt Impulsiveness Scale), (b) commission errors, and (c) reaction time measures from neuropsychological tests in 654 adults undergoing routine clinical assessment of adult ADHD. Using confirmatory factor analyses on split subsamples, we found consistent support for the proposed three-factor structure, whereas the network analysis favored a two-group conceptualization that separates performance-based from self-report-based measures. Self-reported impulsivity demonstrated the highest severity levels, followed by commission errors, with reaction times being least affected. Demographic and clinical characteristics significantly predicted self-reports and commission error measures but not reaction times. The results emphasize the importance of interpreting self-reports independently of performance-based tests. The coherence between commission errors and reaction time variables across tasks of related constructs suggests that administering multiple tasks may yield redundant information in the clinical assessment of impulsivity.

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来源期刊
Assessment
Assessment PSYCHOLOGY, CLINICAL-
CiteScore
8.90
自引率
2.60%
发文量
86
期刊介绍: Assessment publishes articles in the domain of applied clinical assessment. The emphasis of this journal is on publication of information of relevance to the use of assessment measures, including test development, validation, and interpretation practices. The scope of the journal includes research that can inform assessment practices in mental health, forensic, medical, and other applied settings. Papers that focus on the assessment of cognitive and neuropsychological functioning, personality, and psychopathology are invited. Most papers published in Assessment report the results of original empirical research, however integrative review articles and scholarly case studies will also be considered.
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