Diagnostic value of integrated visual and auditory continuous performance test in children with attention deficit and hyperactivity disorder at different ages
SHEN Zhimin, ZHANG Yiwen, YU Xiaodan, YANG You
Department of Developmental and Behavioral Pediatrics, Shanghai Children’s Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China
Abstract：Objective To investigate the diagnostic value of integrated visual and auditory continuous performance test（IVA-CPT）in children with attention deficit and hyperactivity disorder（ADHD）at different ages. Methods A total of 604 children aged 6 to 16 years with suspected ADHD from March 2021 to July 2022 were collected. The Diagnostic and Statistical Manual of Mental Disorders, 5 th edition（DSM-5）was used as diagnostic criteria to retrospectively analyze the results of IVA-CPT. Children were grouped by age to compare the differences between the two evaluation methods（DSM-5 and IVA-CPT）. Results The sensitivity of IVA-CPT was 60.00%-82.22% and the specificity was 51.28%-63.16%. There were average to moderate agreements between DSM-5 and IVA-CPT in the 6-11 years old groups（Kappa=0.275-0.407, P<0.05）. The classification results of ADHD in each group by using IVA-CPT showed that the sensitivity of attention deficit type was 51.52%-75.00% and the specificity was 52.63%-68.89%; the sensitivity of hyperactivity/impulsivity type was 40.90%-66.67% and the specificity was 55.71%-92.16%; the sensitivity of combined type was 40.00%-62.50% and the specificity was 67.86%-91.38%. There were statistically general agreements between the two assessments in 6-10years old groups with attention deficit type（Kappa=0.238-0.374 , P< 0 .05）and in 6 years old group with hyperactivity/impulsivity type（Kappa=0.374, P<0.05）. Conclusion IVA-CPT is suitable for screening ADHD in children aged 6-10 years. For children aged 11 and above, a comprehensive judgment should be made based on clinical observations and other test results. In classification diagnosis, IVA-CPT has certain auxiliary diagnostic value in children aged 6-10 years with attention deficit type. For children aged 11 and above with attention deficit type and children of all ages with hyperactivity/ impulsivity and mixed ADHD, it should be cautious to use IVA-CPT assessment.
沈植旻，章依文，余晓丹，杨 友. 视听整合连续测试对不同年龄注意缺陷多动障碍儿童的诊断价值[J]. 教育生物学杂志, 2024, 12(3): 180-.
SHEN Zhimin, ZHANG Yiwen, YU Xiaodan, YANG You. Diagnostic value of integrated visual and auditory continuous performance test in children with attention deficit and hyperactivity disorder at different ages. JOURNAL OF BIO-EDUCATION, 2024, 12(3): 180-.
