视听整合持续性操作测试在中国的适用性:基于临床和学校样本的评估结果

摘要

Objective To explore the psychometric properties of the Chinese version of integrated visual and auditory continuous performance test (IVA-CPT) ,and to assess the diagnosis value of the Chinese version of IVA-CPT in two samples of children with attention deficit hyperactivity disorder (ADHD) in clinic and school.Methods 112 participants were divided into 4 groups:clinic group, clinic control group, school group and control group from school.The participants were measured by IVA-CPT and the results were compared.Results ①The integrated quotients of IVA-CPT had concordance with the dimensions of the DSM-ⅣV and ASRS.Each integrated quotients of IVA-CPT and each dimension of the DSM-ⅣV and ASRS were negatively correlated(school: r=-0.277, P＜0.05;clinic: r=-0.423, P＜0.05).The score of HI dimension was negatively correlated with integrated attention quotient and integrated inhibition quotient of IVA-CPT (r=-0.480, P＜0.01;r=-0.452, P＜0.01).② The results of the IVA-CPT and the comprehensive assessment had consistency for diagnosis of children with ADHD from the total subjects,the clinic ,and the school.And there were no difference between the sensitivity, the specificity, the coincidence rate, the missed diagnosis rate and the misdiagnosis rate of IVA-CPT when used to diagnose children with ADHD in clinic and school(x2=3.396, P＞0.05).③The IVA-CPT evaluation system had good stability according to the retest of a random sample of 25 subjects(P＜0.01).The pretest and posttest results of each full quotients of IVA-CPT were significantly correlated (P＜0.01).Conclusion The IVA-CPT not only can be used as auxiliary diagnostic tools to diagnose children with ADHD in clinic,it can be used as auxiliary diagnostic tools to diagnose children with ADHD in the community.%目的 以临床和学校样本为对照,探索视听整合持续性操作测试(IVA-CPT)中文版对注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)的评估效用.方法 将112名被试分成4组,即临床被试与临床控制组,学校被试与学校控制组,对各组被试采用IVA-CPT施测并比较测验结果.结果 ①学校被试的IVA-CPT综合商数和注意力商数得分与成人ADHD自评量表(ASRS)注意缺陷得分相关性达到显著水平(r=-0.277,P＜0.05);临床被试的DSM-Ⅳ注意缺陷维度得分与IVA-CPT综合注意商数呈显著负相关(r=-0.423,P＜0.05),多动冲动维度得分与IVA-CPT综合注意商数、综合控制商数成显著负相关(r=-0.480,P＜0.01;r=-0.452,P＜0.01).②IVA-CPT和综合评估在总体被试、临床被试和学校被试的评估结果都存在较好的一致性.以综合评估为参照,IVA-CPT在学校被试和临床被试中评估ADHD的灵敏度、特异性、符合率、漏诊率和误诊率差异无统计学意义(x2=3.396,P＞0.05).③对随机抽取的25人进行IVA-CPT重测后发现,IVA-CPT中的6个综合商数均显著相关(P＜0.01).结论 IVA-CPT在临床样本和学校样本诊断中具有较好的信效度和稳定性,可用作临床评估ADHD和在普通人群中评估ADHD的辅助诊断工具.