中华行为医学与脑科学杂志
中華行為醫學與腦科學雜誌
중화행위의학여뇌과학잡지
Chinese Journal of Behavioral Medicine and Brain Science
2015年
10期
935-938
,共4页
张微%江叶萍%莫书亮%林红丽%柯善玉
張微%江葉萍%莫書亮%林紅麗%柯善玉
장미%강협평%막서량%림홍려%가선옥
视听整合持续性操作测试%评估%注意缺陷多动障碍
視聽整閤持續性操作測試%評估%註意缺陷多動障礙
시은정합지속성조작측시%평고%주의결함다동장애
Chinese version of integrated visual and auditory continuous performance test%Assessment%Attention deficit hyperactivity disorder
目的 以临床和学校样本为对照,探索视听整合持续性操作测试(IVA-CPT)中文版对注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)的评估效用.方法 将112名被试分成4组,即临床被试与临床控制组,学校被试与学校控制组,对各组被试采用IVA-CPT施测并比较测验结果.结果 ①学校被试的IVA-CPT综合商数和注意力商数得分与成人ADHD自评量表(ASRS)注意缺陷得分相关性达到显著水平(r=-0.277,P＜0.05);临床被试的DSM-Ⅳ注意缺陷维度得分与IVA-CPT综合注意商数呈显著负相关(r=-0.423,P＜0.05),多动冲动维度得分与IVA-CPT综合注意商数、综合控制商数成显著负相关(r=-0.480,P＜0.01;r=-0.452,P＜0.01).②IVA-CPT和综合评估在总体被试、临床被试和学校被试的评估结果都存在较好的一致性.以综合评估为参照,IVA-CPT在学校被试和临床被试中评估ADHD的灵敏度、特异性、符合率、漏诊率和误诊率差异无统计学意义(x2=3.396,P＞0.05).③对随机抽取的25人进行IVA-CPT重测后发现,IVA-CPT中的6个综合商数均显著相关(P＜0.01).结论 IVA-CPT在临床样本和学校样本诊断中具有较好的信效度和稳定性,可用作临床评估ADHD和在普通人群中评估ADHD的辅助诊断工具.
目的 以臨床和學校樣本為對照,探索視聽整閤持續性操作測試(IVA-CPT)中文版對註意缺陷多動障礙(attention deficit hyperactivity disorder,ADHD)的評估效用.方法 將112名被試分成4組,即臨床被試與臨床控製組,學校被試與學校控製組,對各組被試採用IVA-CPT施測併比較測驗結果.結果 ①學校被試的IVA-CPT綜閤商數和註意力商數得分與成人ADHD自評量錶(ASRS)註意缺陷得分相關性達到顯著水平(r=-0.277,P＜0.05);臨床被試的DSM-Ⅳ註意缺陷維度得分與IVA-CPT綜閤註意商數呈顯著負相關(r=-0.423,P＜0.05),多動遲動維度得分與IVA-CPT綜閤註意商數、綜閤控製商數成顯著負相關(r=-0.480,P＜0.01;r=-0.452,P＜0.01).②IVA-CPT和綜閤評估在總體被試、臨床被試和學校被試的評估結果都存在較好的一緻性.以綜閤評估為參照,IVA-CPT在學校被試和臨床被試中評估ADHD的靈敏度、特異性、符閤率、漏診率和誤診率差異無統計學意義(x2=3.396,P＞0.05).③對隨機抽取的25人進行IVA-CPT重測後髮現,IVA-CPT中的6箇綜閤商數均顯著相關(P＜0.01).結論 IVA-CPT在臨床樣本和學校樣本診斷中具有較好的信效度和穩定性,可用作臨床評估ADHD和在普通人群中評估ADHD的輔助診斷工具.
목적 이림상화학교양본위대조,탐색시은정합지속성조작측시(IVA-CPT)중문판대주의결함다동장애(attention deficit hyperactivity disorder,ADHD)적평고효용.방법 장112명피시분성4조,즉림상피시여림상공제조,학교피시여학교공제조,대각조피시채용IVA-CPT시측병비교측험결과.결과 ①학교피시적IVA-CPT종합상수화주의력상수득분여성인ADHD자평량표(ASRS)주의결함득분상관성체도현저수평(r=-0.277,P＜0.05);림상피시적DSM-Ⅳ주의결함유도득분여IVA-CPT종합주의상수정현저부상관(r=-0.423,P＜0.05),다동충동유도득분여IVA-CPT종합주의상수、종합공제상수성현저부상관(r=-0.480,P＜0.01;r=-0.452,P＜0.01).②IVA-CPT화종합평고재총체피시、림상피시화학교피시적평고결과도존재교호적일치성.이종합평고위삼조,IVA-CPT재학교피시화림상피시중평고ADHD적령민도、특이성、부합솔、루진솔화오진솔차이무통계학의의(x2=3.396,P＞0.05).③대수궤추취적25인진행IVA-CPT중측후발현,IVA-CPT중적6개종합상수균현저상관(P＜0.01).결론 IVA-CPT재림상양본화학교양본진단중구유교호적신효도화은정성,가용작림상평고ADHD화재보통인군중평고ADHD적보조진단공구.
Objective To explore the psychometric properties of the Chinese version of integrated visual and auditory continuous performance test (IVA-CPT) ,and to assess the diagnosis value of the Chinese version of IVA-CPT in two samples of children with attention deficit hyperactivity disorder (ADHD) in clinic and school.Methods 112 participants were divided into 4 groups:clinic group, clinic control group, school group and control group from school.The participants were measured by IVA-CPT and the results were compared.Results ①The integrated quotients of IVA-CPT had concordance with the dimensions of the DSM-ⅣV and ASRS.Each integrated quotients of IVA-CPT and each dimension of the DSM-ⅣV and ASRS were negatively correlated(school: r=-0.277, P＜0.05;clinic: r=-0.423, P＜0.05).The score of HI dimension was negatively correlated with integrated attention quotient and integrated inhibition quotient of IVA-CPT (r=-0.480, P＜0.01;r=-0.452, P＜0.01).② The results of the IVA-CPT and the comprehensive assessment had consistency for diagnosis of children with ADHD from the total subjects,the clinic ,and the school.And there were no difference between the sensitivity, the specificity, the coincidence rate, the missed diagnosis rate and the misdiagnosis rate of IVA-CPT when used to diagnose children with ADHD in clinic and school(x2=3.396, P＞0.05).③The IVA-CPT evaluation system had good stability according to the retest of a random sample of 25 subjects(P＜0.01).The pretest and posttest results of each full quotients of IVA-CPT were significantly correlated (P＜0.01).Conclusion The IVA-CPT not only can be used as auxiliary diagnostic tools to diagnose children with ADHD in clinic,it can be used as auxiliary diagnostic tools to diagnose children with ADHD in the community.
