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IVA-CPT与脑电神经电生理检测对ADHD诊断的比较

A Comparison of IVA-CPT and EEG Biofeedback on Diagnosis for Children with ADHD

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【作者】 汤艳清李艳苓杨华彬谢光荣孙刚

【Author】 TANG Yan-qing, LI Yan-ling, YANG Hua-bin, et alMedical Psychological and Psychiatric Department of China Medical University,ShenYang 110001, China

【机构】 中国医大医学心理学与精神医学教研室辽宁鞍山市中心医院心理科广东中山市博爱医院儿科湘雅二医院精研所辽宁鞍山市中心医院心理科 辽宁沈阳110001 湘雅二医院精研所湖南长沙410011湖南长沙410011

【摘要】 目的:通过整合视听连续执行测试(IVA-CPT)和脑电神经电生理检测,探讨两种辅助诊断方法在ADHD诊断中的差异,为临床上选择ADHD辅助诊断方法提供参考。方法:对113名儿童进行整合视听连续执行测试和脑电神经电生理检测,以为参照标准,计算出各自的灵敏度、特异度、误诊率、漏诊率。结果:IVA-CPT诊断ADHD的灵敏度为92.54%,特异度为76.09%,误诊率为23.91%,漏诊率为7.46%。脑电神经电生理检测诊断ADHD的灵敏度为83.58%,特异度为82.61%,误诊率为17.39%,漏诊率为16.42%。结论:相对而言,IVA-CPT的灵敏度和误诊率较高,特异度和漏诊率较低,脑电神经电生理检测的特异度和漏诊率较高,灵敏度和误诊率较低。

【Abstract】 Objective: To assess the diagnosis value of applying integrated visual and auditory continuous performance task(IVA-CPT) and EEG biofeedback on children with attention-deficit- hyperactivity disorder(ADHD), and provide information for assisting diagnosis of ADHD. Methods: 113 children with ADHD were tested with IVA-CPT and EEG biofeedback. The sensitivity, specificity, misdiagnosis rate and missed diagnosis rate of these two methods were assessed according to the criteria of DSM-Ⅳ. Results: The sensitivity of IVA-CPT for the diagnosis of children with ADHD was 92.54, the specificity was 76.09%, misdiagnosis rate was 23.911% and missed diagnosis rate was 7.46%. And the sensitivity of EEG biofeedback for the diagnosis of children with ADHD was 83.58%, the specificity was 82.61%, misdiagnosis rate was 17.38 and missed diagnosis rate was 16.42%. Conclusion: Relatively, for diagnosis of children with ADHD, sensitivity is higher and missed diagnosis rate is lower, specificity of EEG biofeedback is higher and misdiagnosis rate is lower .

【关键词】 注意缺陷多动障碍诊断方法灵敏度特异度
【Key words】 ADHDIVA-CPTEEG biofeedbackSensitivitySpecificity
  • 【文献出处】 中国临床心理学杂志 ,Chinese Journal of Clinical Psychology , 编辑部邮箱 ,2005年01期
  • 【分类号】B841
  • 【被引频次】14
  • 【下载频次】369
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