BRIEF2 ERI在检测ADHD相关合并症中的临床应用:对临床转诊学龄儿童的回顾性队列分析

IF 1.9 3区 心理学 Q3 CLINICAL NEUROLOGY
William A Piña-Anastasiadis, Liz O'Laughlin
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引用次数: 0

摘要

大多数被诊断为注意力缺陷/多动障碍(ADHD)的儿童符合至少一种合并症的诊断标准。先前的文献表明,情绪调节的评估可能有助于ADHD合并症的鉴别诊断。因此,本研究的主要目的是检验执行功能行为评定量表第二版(BRIEF2)情绪调节指数(ERI)在检测ADHD常见合并症(即破坏性行为和内化行为)中的临床应用。与BRIEF2行为调节指数(BRI)和认知调节指数(CRI)相比,本研究还考虑了ERI可能在多大程度上有助于ADHD和共病症状的整体检测。通过大学ADHD评估诊所就诊的211名5 - 12岁儿童(M = 8.00, SD = 1.63)的档案资料(n = 151)和女性(n = 60)。家长和老师的评分分别进行分析。结果显示,BRIEF2 ERI可靠地检测到被调查者存在ADHD共病症状。然而,与BRI和CRI的选择结果不同,ERI及其相关临床量表没有区分合并症的类型。总的来说,目前的数据表明,在评估ADHD合并症时,ERI可能只比BRIEF2上的其他两个指标做出了很小的贡献。尽管如此,从跨诊断的角度来看,BRIEF2 ERI临床量表可以为临床医生提供有用的信息,帮助指导评估和治疗建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The clinical utility of the BRIEF2 ERI in detecting comorbid conditions associated with ADHD: a retrospective cohort analysis of clinically referred school-aged children.

The majority of children diagnosed with attention-deficit/hyperactivity disorder (ADHD) meet the criteria for at least one comorbid diagnosis. Prior literature has suggested that the assessment of emotion regulation may be helpful in the differential diagnosis of ADHD comorbidity. Thus, a primary goal of this study was to examine the clinical utility of the Behavior Rating Inventory of Executive Function, Second Edition (BRIEF2) Emotion Regulation Index (ERI) in detecting symptoms commonly comorbid with ADHD (i.e. disruptive and internalizing behaviors). This study also considered the extent to which the ERI may contribute to the overall detection of ADHD and comorbid symptoms, as compared to the BRIEF2 Behavior Regulation Index (BRI) and Cognitive Regulation Index (CRI). Archival data representing 211 male (n = 151) and female (n = 60) children ages 5 to 12 (M = 8.00, SD = 1.63) seen through a university-based ADHD Evaluation Clinic were used. Parent and teacher ratings were analyzed separately. Results revealed that the BRIEF2 ERI reliably detected the presence of ADHD comorbid symptomatology across informants. However, unlike select findings from the BRI and CRI, the ERI and its associated clinical scales did not differentiate between types of comorbidities. Overall, current data suggests that the ERI may make only a small contribution beyond what is already explained by the other two indexes on the BRIEF2 in the assessment of ADHD comorbidity. Nonetheless, from a transdiagnostic perspective, the BRIEF2 ERI clinical scales may provide helpful information for clinicians to help guide assessment and treatment recommendations.

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来源期刊
Child Neuropsychology
Child Neuropsychology 医学-临床神经学
CiteScore
4.10
自引率
9.10%
发文量
71
审稿时长
>12 weeks
期刊介绍: The purposes of Child Neuropsychology are to: publish research on the neuropsychological effects of disorders which affect brain functioning in children and adolescents, publish research on the neuropsychological dimensions of development in childhood and adolescence and promote the integration of theory, method and research findings in child/developmental neuropsychology. The primary emphasis of Child Neuropsychology is to publish original empirical research. Theoretical and methodological papers and theoretically relevant case studies are welcome. Critical reviews of topics pertinent to child/developmental neuropsychology are encouraged. Emphases of interest include the following: information processing mechanisms; the impact of injury or disease on neuropsychological functioning; behavioral cognitive and pharmacological approaches to treatment/intervention; psychosocial correlates of neuropsychological dysfunction; definitive normative, reliability, and validity studies of psychometric and other procedures used in the neuropsychological assessment of children and adolescents. Articles on both normal and dysfunctional development that are relevant to the aforementioned dimensions are welcome. Multiple approaches (e.g., basic, applied, clinical) and multiple methodologies (e.g., cross-sectional, longitudinal, experimental, multivariate, correlational) are appropriate. Books, media, and software reviews will be published.
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