中文版SNAP-Ⅳ量表父母版与视听整合持续性操作测验在评价儿童注意缺陷多动障碍中的一致性研究

Study on the consistency between the Chinese version of SNAP-Ⅳscale-parents and the audiovisual integration continuous operation test in the assessment of attention deficit hyperactivity disorder in children

目的探讨中文版注意缺陷多动障碍筛查量表(SNAP-Ⅳ)父母版与视听整合持续性操作测验(IVA-CPT)在诊断儿童注意缺陷多动障碍(ADHD)中的一致性。方法收集2018年1月至2020年12月来自厦门市妇幼保健院儿童发育行为科就诊的64例ADHD儿童,分别使用IVA-CPT和中文版SNAP-Ⅳ量表父母版进行症状评价,采用Cohen Kappa系数来描述两种测量手段的一致性。结果在多动/冲动维度,两种测量手段的Kappa指数为0.562(P<0.001);在注意缺陷维度,两者之间的Kappa指数为0.409(P<0.001)。结论中文版SNAP-Ⅳ量表父母版和IVA-CPT测试在儿童ADHD的诊断上有一致性,且一致性为中等程度。为提高ADHD的诊断准确率,建议两种测试工具联合应用。

Objective To explore the consistency between the Chinese version of swanson,olan,and Pelham-Ⅳscale(SNAP-Ⅳ)-parents and the integration visual and auditory continuous performance test(IVA-CPT)in the diagnosis of attention deficit hyperactivity disorder(ADHD)in children.Methods From January 2018 to December 2020,a total of 64 children with ADHD from the Department of Child Developmental Behavior,Xiamen Maternal and Child Health Hospital were collected.IVA-CPT and the Chinese version of SNAP-Ⅳscale-parents were used for symptom evaluation,and Cohen Kappa coefficient was used to describe the consistency of the two measures.Results In the hyperactivity/impulsivity dim-ension,the Kappa index was 0.562(P<0.001).In the attention deficit dimension,the Kappa index between the two was 0.409(P<0.001).Conclusion There is moderate consistency between Chinese SNAP-Ⅳparent scale and IVA-CPT test in the diagnosis of ADHD in children.In order to improve the diagnostic accuracy of ADHD,it is suggested that the two test tools should be used together.