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Diagnostic Discrimination of Sluggish Cognitive Tempo and Attention Task in the Assessment of Attention-Deficit/Hyperactivity Disorder Subtypes

Abstract

The purpose of this study was to examine the diagnostic availability of Sluggish Cognitive Tempo(SCT) and attention task in discriminating ADHD subtypes. Children diagnosed as ADHD at a local hospital were recruited. ADHD was divided into two group, ADHD combined type and ADHD inattentive type. And children from a local elementary school who did not meet any of criteria for ADHD were also included in this study as the control group. Their Parents or teachers were asked to rate the behavior rating scale consisting of the DSM-IV criteria for ADHD and SCT. The executive inhibition task and the covert orienting task were administerd to children. In Multiple Discrimination analysis, two discriminant function were produced. Function I which differentiate control group and ADHD was characterized by hyperactive/impulsivity. And function II which differentiate combined type and inattentive type was characterized SCT, commission errors, and variable of covert orienting task. Three group demonstrated 93.8% of diagnostic precision rate in behavior rating scale, executive inhibition task & covert orienting task. In cross validation, three group demonstrated 86.15% of diagnostic precision rate in behavior rating scale, executive inhibition task & covert orienting task. This discriminant function effectively and consistently differentiated three group. Finally, clinical implication and limitation of this study were discussed.

keywords
ADHD subtype, Sluggish Cognitive Tempo, executive inhibition task, covert orienting task, ADHD subtype, Sluggish Cognitive Tempo, executive inhibition task, covert orienting task, ADHD 하위 유형, 굼뜬 인지적 템포, 실행기능 검사, 정향 주의 검사

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