主观认知投诉,无效症状报告和成年人评估ADHD的神经认知测试绩效有效性之间的关系
Matthew S Phillips1, Nataliya Turchmanovych-Hienkel1,2, Mira I Leese1,3
1Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL.
Journal of psychiatric practice
|January 21, 2025
概括
成年ADHD转诊患者的主观认知投诉往往与客观表现不匹配. 提升的投诉与有效性测试失败相关,而不是认知缺陷.
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.
背景情况:
- 在被评估为ADHD的成年人中,主观认知投诉很常见.
- 客观认知缺陷往往与这些自我报告的问题不一致.
研究的目的:
- 调查主观认知投诉,客观神经心理功能和成年ADHD转诊患者的有效性测试之间的联系.
- 确定认知投诉是否反映了实际的神经认知表现或其他因素.
主要方法:
- 评估了523个成年人关于ADHD问题的推.
- 在具有高和非高认知投诉的组之间比较神经认知表现,多动症症状和有效性测试.
主要成果:
- 认知问题较高的群体在表现有效性和ADHD症状报告方面表现出显著差异.
- 在两组间的客观神经认知指标中没有发现显著的临床差异.
结论:
- 成年ADHD转诊患者的主观认知投诉与客观神经认知缺陷没有相关性.
- 提升的投诉与更高的绩效有效性失败率和不可靠的症状报告率有关.
- 评估认知投诉需要症状清单和具有客观有效性指数的测试.
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