在ADHD评估中确定增加嵌入性能有效性测试假阳性率的因素.
John-Christopher A Finley1, Logan M Tufty2,3, Steven A Abalos3
1Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, 420 E Superior St, Chicago, IL, 60611, USA.
概括
嵌入式性能有效性指标 (EVI) 在注意力缺陷/多动症 (ADHD) 评估中可能具有高的错误阳性率 (FPR). 聚合EVI和避免那些没有人口调整的人群,特别是种族,可以减少ADHD评估的不准确性.
科学领域:
- 神经心理学 神经心理学
- 临床心理学 临床心理学
- 心理测量 心理测量 心理测量
背景情况:
- 嵌入式性能有效性指标 (EVI) 对于准确的注意力缺陷/多动症 (ADHD) 评估至关重要.
- 某些EVI在ADHD评估中表现出更高的假阳性率 (FPR),可能导致误诊.
- 了解导致高FPR的因素对于完善评估协议至关重要.
研究的目的:
- 调查FPR和15个EVI之间的关系,来自ADHD成年人的六个认知测试.
- 确定特定的EVI,这些EVI在这个人群中导致FPR升高.
- 为了确定汇总EVI对整体FPR的影响.
主要方法:
- 分析了来自517名成年ADHD转诊患者的数据,其中包括有效的神经认知测试表现.
- 基于具有≥0.90特异性的确定的EVI截止值计算FPRs.
- 对单个和聚合EVI的FPR进行比较,考虑各种测试特征.
主要成果:
- 两个认知测试独立地产生了> 10% 的 FPR 的 EVI;聚合将总的 FPR 降低到 8.1%.
- 持续注意力测试EVI显示FPR约为11%.
- 缺乏人口调整 (例如,种族) 的EVI具有更高的FPR (~14%).
结论:
- 实践者应该仔细选择EVI,考虑源测试和使用的指标数量.
- 聚合EVI可以帮助尽量减少ADHD评估中的FPR.
- 开发更细微的有效性测试方法是改善ADHD评估的必要条件.
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