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Originalarbeit

Validierung des QbMini Tests zur Diagnose der Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) bei fünfjährigen Kindern

Published Online:September 06, 2019https://doi.org/10.1024/1016-264X/a000262

Abstract

Zusammenfassung.Fragestellung: ADHS tritt bei 2 %-8 % aller Vorschüler auf. Zur Diagnose von ADHS im Vorschulalter gibt es derzeit nur wenige Verfahren. Ziel dieser Studie war die Validierung des psychometrischen Verfahrens QbMini Test für das Vorschulalter. Dieser PC-gestützte Test erfasst Aufmerksamkeit und Impulsivität anhand eines Daueraufmerksamkeitstests, während die Hyperaktivitätsmessung über eine Infrarotkamera erfolgt. Methodik: Der QbMini Test wurde mit 95 5-jährigen Kindern mit und ohne ADHS durchgeführt. Die Eltern füllten symptomspezifische Verhaltensbögen für ADHS aus. Ergebnisse: Der QbMini Test erfasst die drei Hauptsymptome von ADHS. Aus dem Vergleich des QbMini Tests mit den Verhaltensbogen ergaben sich insbesondere für den Faktor Hyperaktivität signifikante Korrelationen. Schlussfolgerungen: Die ersten Daten sprechen dafür, dass der QbMini Test in der ADHS-Diagnostik im Vorschulalter eine gute Ergänzung zu den bestehenden Verfahren ist.


Validation of the QbMini Test to diagnose Attention Deficit and Hyperactivity Disorder (ADHD) in 5-year-old children

Abstract.Objective: ADHD occurs in 2 %–8 % of all preschoolers. There are only few methods for diagnosing ADHD at this age. The current study aims to validate the QbMini Test, a psychometric tool that measures the three main symptoms of ADHD, inattention, hyperactivity and impulsivity, in preschool-aged children. Method: The QbMini Test was taken by a sample of 95 five-year-old children, both with and without ADHD. This computer-based test recorded attention and impulsivity by means of a CPT, while the hyperactivity measurement was carried out via an infrared camera. In addition, the parents rated their respective children on symptom-specific behavior sheets for ADHS (CBCL and FBB-ADHS-V). Results: Based on regression analysis of the resulting data, the relationship between QbMini Test and the symptom-specific behavior ratings showed significant correlations, especially for the factor hyperactivity. Conclusions: The initial results show that the QbMini Test is a valid tool that may be used in conjunction with other ADHD diagnostic methods at preschool age.

Literatur

  • Achenbach, T. M. (1991). Manual for the Child Behavior Checklist/4–18 and 1991 Profile. Burlington: University of Vermont, Department of Psychiatry. First citation in articleGoogle Scholar

  • American Psychiatric Association (APA, 2013). Diagnostic and statistical manual of mental disorders (DSM-5) (5th ed.). Washington, DC: Author. First citation in articleCrossref, Google Scholar

  • Applegate, B., Lahey, B. B., Hart, E. L., Waldman, I., Biedermann, J., Hynd, G. W. & Schaffer, D. (1997). Validity of the age-onset criterion for ADHD: A report from the DSM-IV field trials. Journal of the American Academy of Child and Adolescent Psychiatry, 36 (9), 1211–1221. First citation in articleCrossref, Google Scholar

  • Arbeitsgruppe Deutsche Child Behavior Checklist (1998). Elternfragebogen über das Verhalten von Kindern und Jugendlichen; deutsche Bearbeitung der Child Behavior Checklist (CBCL/4–18). Einführung und Anleitung zur Handauswertung (2. Auflage mit deutschen Normen, bearbeitet von M. Döpfner, J. Plück, S. Bölte, K. Lenz, P. Melchers & K. Heim). Köln: Arbeitsgruppe Kinder-, Jugend- und Familiendiagnostik (KJFD). First citation in articleGoogle Scholar

  • Döpfner, M., Görtz-Dorten, A. & Lehmkuhl, G. (2008). Diagnostik-System für psychische Störungen nach ICD-10 und DSM-IV für Kinder- und Jugendliche (DISYPS-II). Bern: Huber. First citation in articleGoogle Scholar

  • Edebol, H., Helldin, L. & Norlander, T. (2013). Measuring adult attention deficit hyperactivity disorder using the quantified behavior test plus. PsyCh Journal, 2 (1), 48–62. First citation in articleCrossref, Google Scholar

  • Günther, T. (2012). Questionnaires versus computer-based assessments to examine atten-tional processes. Presented at the 3rd UK Paediatric Neuropsychology Symposium: Early Brain-Behaviour Relationships & Prognostic Indicators, London. First citation in articleGoogle Scholar

  • Konrad, K., Günther, T., Heinzel-Gutenbrunner, M. & Herpertz-Dahlmann, B. (2005). Clinical Evaluation of Subjective and Objective Changes in Motor Activity and Attention in Children with Attention-Deficit/Hyperactivity Disoder in a Double-Blind Methylphenidate Trial. Journal of Child and Adolescent Psychopharmacology, 15 (2), 180–190. First citation in articleCrossref, Google Scholar

  • Lamm, L. (2013). Assessment of Attention-Deficit Hyperactivity Disorder (ADHD) in Preschoolers The predictive power of the QbMini test. Unpublished manuscript, Maastricht University. First citation in articleGoogle Scholar

  • Lenhard, W. & Lenhard, A. (2014). Signifikanztests bei Korrelationen. Verfügbar unter: http://www.psychometrica.de/korrelation.html. Bibergau: Psychometrica. First citation in articleGoogle Scholar

  • Mahone, E. M. (2005). Measurement of attention and related functions in the preschool child. Mental Retardation and Developmental Disabilities Research Reviews, 11 (3), 216–225. First citation in articleCrossref, Google Scholar

  • Polanczyk, G., De Lima, M. S., Horta, B. L., Biederman, J. & Rohde, L. A. (2007). The worldwide prevalence of ADHD: A systematic review and metaregression analysis. American Journal of Psychiatry, 164 (6), 942–948. First citation in articleCrossref, Google Scholar

  • Reh, V., Schmidt, M., Lam, L., Schimmelmann, B. G., Hebebrand, J. & Rief, W. (2013). Behavioral assessment of core ADHD symptoms using the QbTest. Journal of Attention Disorders. Advance online publication. First citation in articleGoogle Scholar

  • Rosvold, H. E., Mirsky, A. F., Sarason, I., Bransome, E. D. & Beck, L. H. (1956). A conti nuous performance test of brain damage. Journal of Consulting and Clinica Psychology, 20 (5), 343–350. First citation in articleCrossref, Google Scholar

  • Sanchez, E. Y., Velarde, S. & Britton, G. B. (2011). Estimated Prevalence of Attention- Deficit Hyperactivity Disorder in a sample of Panamanian School-Aged Children. Child Psychiatry & Humam Development, 42 (2), 243–255. First citation in articleCrossref, Google Scholar

  • Schneider, A.-M. (2013). Assessment of attention-deficit hyperactivity disorder in preschoolers: Comparison of psychometric measurements and behavioral scales. Unpublished manuscript, Maastricht University. First citation in articleGoogle Scholar

  • Sonuga-Barke, E. J. S. & Halperin, J. M. (2010). Developmental phenotypes and causal pathways in attention deficit/hyperactivity disorder: Potential targets for early intervention? Journal of Child Psychology and Psychiatry, 51 (4), 368–389. First citation in articleCrossref, Google Scholar

  • Sonuga-Barke, E. J. S., Koerting, J., Smith, E., McCann, D. C. & Thompson, M. (2011). Early detection and intervention for attention-deficit/hyperactivity disorder. Expert Review of Neurotherapeutics, 11 (4), 557–563. First citation in articleCrossref, Google Scholar

  • Suvarna, B. S. & Kamath, A., (2009). Prevalence of attention deficit disorder among preschool age children. Department of Pharmacology. Nepal Med Coll J, 11 (1), 1–4. First citation in articleGoogle Scholar

  • Uitenbroek, D. G. (1997). SISA Calculate Bonferroni Correction. Southampton: D. G. Uitenbroek. Verfügbar unter http://www.quantitativeskills.com/sisa/calculations/bonfer.htm [15.05.2016]. First citation in articleGoogle Scholar

  • Ulberstad, F. (2012a). QbTest Technisches Manual. Stockholm: Qbtech AB. First citation in articleGoogle Scholar

  • Ulberstad, F. (2012b). Discriminant Validity of QbTest in an adolescent/adult population. Data on file. First citation in articleGoogle Scholar

  • Ulberstad, F. (2012c). Discriminant Validity of QbTest in children. Data on file. First citation in articleGoogle Scholar

  • Vogt, C. & Shameli, A. (2011). Assessments for attention-deficit hyperactivity disorder: use of objective measurements. The Psychiatrist, 35 (10), 380–383. First citation in articleCrossref, Google Scholar

  • World Health Organisation (1993). The ICD-10 Classification of Mental and Behavioral Disorders. Clinical descriptions and diagnostic guidelines. Genf: WHO. First citation in articleGoogle Scholar