目的:识别和诊断患有注意缺陷多动障碍(ADHD)特征的儿童在学龄前阶段具有挑战性。神经心理学措施可能有助于早期评估。此外,对事件相关行为的分析似乎是临床治疗计划未满足的需求.Conners\'Kiddie连续表现测试(K-CPT)是最受欢迎的公认的神经心理学测量,但缺乏事件标记来阐明儿童之间的异质性行为。这项研究利用了一种新的市售神经心理学方法,ΣCOG,这更像游戏,并在测试中提供了个别试验的明确事件标记。
方法:33名年龄较大的学龄前儿童(14名被诊断为ADHD,平均年龄:66.21±5.48个月;19个表现出典型的发育,平均年龄:61.16±8.11个月),并接受了全面的医学和发育评估。所有参与者都接受了两种版本的神经心理学测量,包括K-CPT,第二版(K-CPT2)和ΣCOG,在很短的时间间隔内。
结果:该研究表明,在该新颖系统中测量的遗漏和响应时间得分与所有参与者和ADHD组的行为量表的临床测量相关;此外,与传统K-CPT2的相关性在佣金和响应时间评分中观察到.此外,该系统提供了任务内行为分析,确定了特定试验中关于遗漏和委托错误的群体差异.
结论:该创新系统在临床上是可行的,可以进一步用作K-CPT2的替代方案,特别是在研究中,通过揭示任务内事件相关的信息分析。
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.