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自我报告方法准确诊断注意力缺陷多动性障碍的能力:系统性审查

Allyson G Harrison¹, Melanie J Edwards¹

¹Queens University, Kingston, ON, Canada.

Journal of attention disorders

|June 27, 2023

概括

成年ADHD查工具可以准确排除ADHD,但通常会产生错误的阳性结果. 临床医生必须谨慎地使用这些尺度,并对积极的ADHD查进行进一步评估.

科学领域:

精神病学是一个精神病学.
临床心理学临床心理学
神经发育障碍神经发育障碍

背景情况:

注意缺陷/多动障碍 (ADHD) 是一种流行的神经发育障碍.
准确的成人ADHD诊断对于有效的治疗和管理至关重要.
对于ADHD评估,通常使用各种评级表和采访式选仪.

研究的目的:

系统地识别和分析验证常用ADHD评分尺度和成年人面试基的选方法的研究.
评估这些查仪器的诊断准确性,包括灵敏度和特异性.

主要方法:

为了找到相关的研究,进行了系统的文献搜索.
提取了诊断准确性的统计数据 (灵敏度,特异性,正负预测值).
审查了已发表的研究和测试手册的数据.

主要成果:

只有20项研究为成人多动症查提供了足够的诊断准确性数据.
所有审查的措施都显示了高负预测值 (>96%),有效地识别了没有ADHD的个体.
然而,观察到高虚假阳性率,在临床样本中,积极的预测值往往低于20%.

结论:

临床医生不应该仅仅依靠查尺度来诊断成人多动症.
对于检测阳性的人来说,需要进一步严格的评估.
出版物应包括全面的分类统计数据,以支持基于证据的临床决策,并防止误诊.

关键词:

更多关于 ADHD ADHD 的文章一个成熟的成年人.评估评估的评估评估的评估.审查审查审查审查审查审查查检查查检查查检查查检查

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