童年不良经历对症状和表现有效性测试的影响在多种族样本中,用于ADHD评估
Christopher Gonzalez1,2, John-Christopher A Finley3, Elmma Khalid1,2
1Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL, USA.
概括
儿童不良经历 (ACE) 可以影响成年人评估注意力缺陷多动症障碍 (ADHD) 的症状有效性测试 (SVT). 然而,ACEs没有影响性能有效性测试 (PVTs),这表明需要对ADHD评估进行仔细的SVT解释.
科学领域:
- 神经心理学 神经心理学
- 精神病学是一个精神病学.
- 发展心理学 发展心理学
背景情况:
- 在接受注意力缺陷多动性障碍 (ADHD) 评估的人群中,经常报告有不良童年经历 (ACE).
- 现有研究表明,有ACE病史的个体可能在性能有效性测试 (PVT) 和症状有效性测试 (SVT) 上被错误分类为无效.
- 这突显了这一人口群体在ADHD评估中的潜在偏见.
研究的目的:
- 调查ACE暴露对寻求ADHD评估的成年人PVT和SVT性能的影响程度.
- 检查ACE和ADHD症状报告之间的关系.
- 在一个多元,多种族的样本中评估这些因素.
主要方法:
- 这项研究涉及170名成年人,这些成年人被转诊进行门诊神经心理ADHD评估.
- 参与者完成了ACE检查表和神经认知电池,包括多个PVT和SVT.
- 差异分析 (ANOVA) 用于比较高 (≥4ACE) 和低 (≤3ACE) 暴露组之间的表现.
主要成果:
- 高ACE暴露的个体在与ADHD症状过度报告和不经常报告症状相关的SVT上显示出显著更高的得分,在明尼苏达多相人格清单-2-重组形式 (MMPI-2-RF) 上.
- 在高ACE和低ACE组之间没有发现PVT总失败的显著差异.
- 这表明ACE对症状有效性指标的特定影响,而不是整体性能有效性.
结论:
- 高ACE暴露与SVT评估过度报告和不经常响应的高分数的可能性增加有关.
- 暴露于ACE并没有对PVT表现产生显著影响.
- 这些发现强调了在解释SVT结果时考虑ACE的重要性,并呼吁对ACE相关症状报告模式进行进一步研究.
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