Consistency Analysis of Core Symptom Assessment in Children with Attention Deficit Hyperactivity Disorder by Different Types of Evaluation Modalities
10.11969/j.issn.1673-548X.2025.07.025
- VernacularTitle:不同类型评价方式对注意缺陷多动障碍患儿核心症状评估的一致性分析
- Author:
Zhuhong YANG
1
;
Shu LIU
1
;
Xin YANG
1
Author Information
1. 361006 复旦大学附属儿科医院厦门医院(厦门市儿童医院)儿童保健中心
- Publication Type:Journal Article
- Keywords:
Attention deficit hyperactivity disorder;
ADHD diagnostic scale;
Conners parental symptom questionnaire;
Audiovisual integration continuum test;
Consistency;
Correlation
- From:
Journal of Medical Research
2025;54(7):140-144
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aimed to evaluate the consistency and correlation among various assessment tools,such as the at-tention deficit hyperactivity disorder(ADHD)diagnostic Scale,the Conners parent symptom questionnaire(PSQ),and the IVA-cogni-tive performance test(IVA-CPT),in measuring hyperactivity-impulsivity and attention deficits in children with ADHD.Methods 407 cases of children with ADHD who attended the Xiamen Hospital of Fudan University Pediatrics Hospital from June 2019 to February 2021 were retrospectively analyzed.The consistency between the results of the IVA-CPT test completed by the children and the results of the ADHD diagnostic scale and PSQ completed by their parents were assessed.Results The agreement between the ADHD diagnostic scale and the IVA-CPT test was low(κ=0.13,P=0.01),as was the agreement between the ADHD diagnostic scale and the PSQ(κ=0.29,P=0.01).Additionally,there was no agreement between the PSQ and the IVA-CPT.The sentence is too complex and should be broken down for clarity.The attention deficit and hyperactive-impulsive component scores on the ADHD diagnostic scale showed a significant positive correlation(r=0.33,P＜0.001).In contrast,the Attention Quotient of the IVA-CPT demonstrated a sig-nificant negative correlation with both the hyperactive-impulsive(r=-0.17,P＜0.001)and attention deficit component scores(r=-0.22,P＜0.001)of the ADHD diagnostic scale.Conclusion Despite the consistency of different assessment tools in the assessment of ADHD,the consistency was poor,suggesting that the results should be interpreted with caution in clinical practice and emphasizing the need to use a combination of assessment tools.Future studies should explore the possibility of further optimizing assessment tools to im-prove the diagnostic accuracy and intervention effects of ADHD.
