The clinical utility of the continuous performance test and objective measures of activity for diagnosing and monitoring ADHD in children: a systematic review

被引:128
作者
Hall, Charlotte L. [1 ]
Valentine, Althea Z. [1 ]
Groom, Madeleine J. [2 ]
Walker, Gemma M. [1 ]
Sayal, Kapil [3 ,4 ]
Daley, David [4 ,5 ]
Hollis, Chris [1 ,6 ,7 ]
机构
[1] Univ Nottingham Innovat Pk, Inst Mental Hlth, Div Psychiat & Appl Psychol, CLAHRC EM, Triumph Rd, Nottingham NG7 2TU, England
[2] Univ Nottingham Innovat Pk, Inst Mental Hlth, Div Psychiat & Appl Psychol, Triumph Rd, Nottingham NG7 2TU, England
[3] Univ Nottingham, Sch Med, Dev Psychiat, Nottingham, England
[4] Univ Nottingham Innovat Pk, Inst Mental Hlth, CANDAL, Triumph Rd, Nottingham NG7 2TU, England
[5] Univ Nottingham, Sch Med, Nottingham, England
[6] Univ Nottingham, CANDAL, Nottingham, England
[7] Univ Nottingham, Queens Med Ctr, MindTech, Dev Psychiat, Nottingham NG7 2UH, England
关键词
Attention-deficit hyperactivity disorder (ADHD); Continuous performance tests (CPTs); Activity; Objective measures; Systematic review; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DEFICIT HYPERACTIVITY DISORDER; MOTOR-ACTIVITY; ACTIVITY LEVEL; NEUROPSYCHOLOGICAL MEASURES; NATURALISTIC ASSESSMENT; PREDICTIVE POWER; WORKING-MEMORY; METHYLPHENIDATE; IMPULSIVITY;
D O I
10.1007/s00787-015-0798-x
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Attention-deficit hyperactivity disorder (ADHD) is typically diagnosed using clinical observation and subjective informant reports. Once children commence ADHD medication, robust monitoring is required to detect partial or non-responses. The extent to which neuropsychological continuous performance tests (CPTs) and objective measures of activity can clinically aid the assessment and titration process in ADHD is not fully understood. This review describes the current evidence base for the use of CPTs and objectively measured activity to support the diagnostic procedure and medication management for children with ADHD. Four databases (PsycINFO, Medline, Allied and Complementary Medicine (AMED), and PsycARTICLES) were systematically searched to understand the current evidence base for (1) the use of CPTs to aid clinical assessment of ADHD; (2) the use of CPTs to aid medication management; and (3) the clinical utility of objective measures of activity in ADHD. Sixty relevant articles were identified. The search revealed six commercially available CPTs that had been reported on for their clinical use. There were mixed findings with regard to the use of CPTs to assess and manage medication, with contrasting evidence on their ability to support clinical decision-making. There was a strong evidence base for the use of objective measures of activity to aid ADHD/non-ADHD group differentiation, which appears sensitive to medication effects and would also benefit from further research on their clinical utility. The findings suggest that combining CPTs and an objective measure of activity may be particularly useful as a clinical tool and worthy of further pursuit.
引用
收藏
页码:677 / 699
页数:23
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