量化儿童年龄导致的潜在偏见,用于查多动性/冲动性ADHD表现
Nathan P Anderson1, Devin H Gaffney2, Divya Jagadeesh2
1University of Pittsburgh, PA, USA.
Journal of attention disorders
|July 29, 2023
概括
基于年龄的百分位数不能改善对5-12岁儿童多动/冲动注意力缺陷-多动障碍 (ADHD) 的查. 这项研究发现,与此年龄组的ADHD查总体百分位相比,没有额外的益处.
科学领域:
- 儿科心理学 儿科心理学
- 儿童精神病学 儿童精神病学
- 神经发育障碍 神经发育障碍
背景情况:
- 注意缺陷多动症 (ADHD) 是儿童常见的一种神经发育障碍.
- 对ADHD的查工具通常使用基于年龄的百分比来解释发育变化.
- 查中的潜在年龄偏差需要仔细评估,以确保准确的诊断.
研究的目的:
- 调查以年龄为基础的百分位数是否能提高5至12岁儿童多动性/冲动性ADHD表现的查准确度.
- 在ADHD查模型中,比较基于年龄的有效性与整体百分比.
主要方法:
- 评估了307名儿童 (5-12岁) 的临床样本,这些儿童有行为问题.
- 范德比尔特注意力缺陷过度活动障碍诊断家长评分表 (VADPRS) 进行了管理.
- 逻辑回归和接收器运行特征 (ROC) 曲线被用来比较百分比方法.
主要成果:
- 与整体百分位相比,基于年龄的百分位并没有改善多动症表现的多动症查模型.
- 这种缺乏改善的情况在整个样本和5至6岁儿童的小组中是一致的.
- 在结合特定年龄的数据时,没有观察到查绩效的显著差异.
结论:
- 基于年龄的百分位数不能提高5至12岁儿童多动/冲动多动症的查.
- 目前使用整体百分位数的查模型似乎与对年龄调整的模型同样有效.
- 进一步的研究可能会探索其他影响儿童群体ADHD查准确性的因素.
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