Aiding the diagnosis of AD/HD in childhood: Using actigraphy and a continuous performance test to objectively quantify symptoms.
The current gold standard for the diagnosis of AD/HD is based on subjective reports from teachers, parents, and clinicians. These measures can be problematic as they are open to rater biases and also fail to account for the developmental nature of symptoms. The current study examined the diagnostic...
| Publicado en: | Research in Developmental Disabilities Vol. 59; pp. 35 - 43 |
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| Autores principales: | , , , , |
| Formato: | Journal Article |
| Publicado: |
Pergamon Press - An Imprint of Elsevier Science
Dec2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=119160453&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 119160453 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08914222 JJZ jtl: Research in Developmental Disabilities issn: 08914222 maglogo: N pubinfo: dt: Dec2016 vid: 59 pid: 2410 pub: Pergamon Press - An Imprint of Elsevier Science artinfo: ui: 119160453 119160453 NLM27497372 10.1016/j.ridd.2016.07.013 NLM27497372 119160453 ppf: 35 ppct: 8 formats: tig: atl: Aiding the diagnosis of AD/HD in childhood: Using actigraphy and a continuous performance test to objectively quantify symptoms. aug: au: Gilbert, Hannah Qin, Ling Li, Dandan Zhang, Xuehua Johnstone, Stuart J. affil: School of Psychology, University of Wollongong, Wollongong, NSW 2519, Australia sug: subj: Task Performance and Analysis Actigraphy Attention Deficit Hyperactivity Disorder Diagnosis Male Female Sensitivity and Specificity Case Control Studies Child Clinical Assessment Tools Child: 6-12 years Male Female ab: The current gold standard for the diagnosis of AD/HD is based on subjective reports from teachers, parents, and clinicians. These measures can be problematic as they are open to rater biases and also fail to account for the developmental nature of symptoms. The current study examined the diagnostic accuracy of two objective measures, a computer-based Continuous Performance Task and actigraphy (e.g. motion tracking device) in differentiating children with AD/HD (N=70) from healthy controls (N=70). It was predicted that task-unrelated movement (measured via actigraphy) during a CPT and CPT performance would have high classification accuracy in differentiating children with AD/HD from healthy controls, and that the inclusion of age would increase this accuracy. Results indicated that total energy expenditure from the task-unrelated wrist and ankle movement during the CPT was higher in children with AD/HD than controls, and that CPT performance was poorer in AD/HD than controls. Discriminant function analyses revealed that the CPT Full-Scale Response Control Quotient and wrist and ankle energy expenditure provided optimal classification accuracy - correctly classifying 86% of cases, with sensitivity of 81.4% and specificity of 91.4%. The prediction that classification accuracy would increase with the inclusion of age was not supported by the data. When taken in conjunction with other clinical assessments, these findings suggest that actigraphy during a CPT and CPT performance may increase the probability of a correct AD/HD diagnosis. pubtype: Academic Journal doctype: Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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