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Development of a statistical approach to classifying treatment response in individual children with ADHD.

机译:统计方法的发展个人分类治疗反应儿童多动症。

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The use of cognitive tests as measures of treatment response in individual children with ADHD has not been adequately evaluated or commonly applied by clinicians. This is most likely due to a lack of suitable assessment tasks as well as clinicians' limited awareness of the appropriate statistical techniques for analysing cognitive change in individuals. This study investigated the application of statistical decision rules to the cognitive and behavioural measures of individual children with ADHD in order to classify a significant, positive response to medication. The previously reported data of 14 children with ADHD (combined type; ADHD-CT) were re-analysed to investigate changes in function following a low- and high-dose of stimulant medication (2.5 mg and 7.5 mg dexamphetamine, respectively). The performances of 14 age-, gender- and IQ-matched controls was also analysed to provide an estimate of the false-positive classification rate. Overall, the decision rule yielded a high sensitivity and high specificity to treatment response. In the high-dose condition, 71% of children with ADHD demonstrated improvements in both cognitive and behavioural function. This study demonstrates an evidence-based approach to evaluating concurrent cognitive and behavioural improvement in individual children with ADHD following treatment with stimulant medication. Copyright 2004 John Wiley & Sons, Ltd.
机译:使用认知测试的措施个别儿童的治疗反应多动症或没有充分评估通常应用的临床医生。可能由于缺乏合适的评估任务以及临床医生的认识有限适当的统计技术进行分析认知个体的变化。调查统计的应用决策规则的认知和行为个别多动症儿童的措施以分类意义重大,积极的反应药物。数据的14个孩子患有ADHD(混合型;ADHD-CT)重新分析调查的变化在函数的低收入和高剂量兴奋剂药物(2.5毫克和7.5毫克右旋安非他明,分别)。14岁、性别和IQ-matched控制还分析了提供一个估计的假阳性分类率。决策规则产生了高灵敏度和高特异性治疗的反应。高剂量条件下,71%的儿童患有ADHD在认知和演示了改进行为的功能。以证据为基础的方法来评估并发认知和行为的改善个别孩子多动症治疗与兴奋剂药物。威利& Sons,有限公司

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