中国临床心理学杂志

IVA-CPT与脑电神经电生理检测对ADHD诊断的比较

单位：1 中国医大医学心理学与精神医学教研室辽宁沈阳 110001
2 湘雅二医院精研所湖南长沙 410011
3 辽宁鞍山市中心医院心理科
4 广东中山市博爱医院儿科

分类号：G449.7

出版年,卷(期):页码：2005,13(1):94-95

摘要：

目的:通过整合视听连续执行测试(IVA-CPT)和脑电神经电生理检测,探讨两种辅助诊断方法在ADHD诊断中的差异,为临床上选择ADHD辅助诊断方法提供参考。方法:对113名儿童进行整合视听连续执行测试和脑电神经电生理检测,以为参照标准,计算出各自的灵敏度、特异度、误诊率、漏诊率。结果:IVA-CPT诊断ADHD的灵敏度为92.54%,特异度为76.09%,误诊率为23.91%,漏诊率为7.46%。脑电神经电生理检测诊断ADHD的灵敏度为83.58%,特异度为82.61%,误诊率为17.39%,漏诊率为16.42%。结论:相对而言,IVA-CPT的灵敏度和误诊率较高,特异度和漏诊率较低,脑电神经电生理检测的特异度和漏诊率较高,灵敏度和误诊率较低。

Objective:To assess the diagnosis value of applying integrated visual and auditory continuous performance task(IVA-CPT) and EEG biofeedback on children with attention-deficit- hyperactivity disorder(ADHD), and provide information for assisting diagnosis of ADHD. Methods: 113 children with ADHD were tested with IVA-CPT and EEG biofeedback. The sensitivity, specificity, misdiagnosis rate and missed diagnosis rate of these two methods were assessed according to the criteria of DSM-Ⅳ.Results: The sensitivity of IVA-CPT for the diagnosis of children with ADHD was 92.54, the specificity was 76.09%, misdiagnosis rate was 23.911% and missed diagnosis rate was 7.46%. And the sensitivity of EEG biofeedback for the diagnosis of children with ADHD was 83.58%, the specificity was 82.61%, misdiagnosis rate was 17.38 and missed diagnosis rate was 16.42%.Conclusion: Relatively, for diagnosis of children with ADHD, sensitivity is higher and missed diagnosis rate is lower, specificity of EEG biofeedback is higher and misdiagnosis rate is lower.

基金项目：

作者简介：

参考文献：

[1] 刘津,王玉凤.注意缺陷多动障碍的治疗进展.中华精神科杂志,2001,34:247-249
[2] 钟昆,文红.注意缺陷多动障碍儿童的脑电生物指标变化调查.中国行为医学科学,2003,12:377
[3] 陈一心,焦公凯,王晨阳,等.整合视听连续执行测试对认知功能障碍儿童的测试初探.临床精神医学杂志,2003,13:265-267
[4] Corkum PV, Siegel LS. Is the continuous performance test a valuable research tool for use with children with attentiondeficit-hyperactivity disorder? Journal of Child Psychology and Psychiatry, 1993, 34:1217-1239
[5] 姜荣环,王玉凤.脑电生物反馈治疗对ADHD儿童认知功能的影响.中国心理卫生杂志,2002,16:462-464
[6] 张凤华.注意缺陷多动障碍的神经生物学研究进展.中国行为医学科学,2001,10:629-631
[7] 徐岩,周晓林,王玉凤.注意缺陷多动障碍病因学研究进展.中国行为医学科学,2003,12:107-108

服务与反馈：

【文章下载】【加入收藏】