用于监测多动症药物治疗反应的 QbTest:系统回顾

Q2 Medicine Clinical Practice and Epidemiology in Mental Health Pub Date : 2023-11-01 eCollection Date: 2023-01-01 DOI:10.2174/0117450179276630231030093814
Urban Gustafsson, Mikkel Hansen
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引用次数: 0

摘要

简介注意缺陷多动障碍(ADHD)被认为是儿童和青少年时期最常见的神经发育障碍之一。药物治疗在该疾病的治疗中发挥着重要作用,而在整个治疗过程中,验证 ADHD 药物的有效性至关重要。QbTest 是一种计算机化测试,其目的是为医护人员提供多动、冲动和注意力不集中的客观测量结果,以帮助对多动症进行临床评估和对治疗干预措施进行评价:对使用 QbTest 监测多动症药物治疗反应的相关文章进行了系统回顾。对 2004 年至 2023 年间发表的文献进行了评估:结果:共有 15 项研究被纳入综述。其中 13 篇文章涉及确诊为多动症的受试者,2 项研究与多动症有关,对 QbTest 在药物治疗反应中的应用进行了评估。研究评估了 QbTest 数据的变化,如 Q 分数、效应大小或 QbTest 变量的改善/恶化。与安慰剂相比,以及与基线治疗到终点治疗相比,大多数研究发现,在使用任何类型的治疗剂量的多动症药物治疗时,QbTest Q分数都会出现与临床相关的下降:结论:QbTest 可在药物滴定后数小时内区分药物治疗效果,并可用于监测多动症的长期治疗。在多动症的治疗过程中,采用客观的测量方法可以满足优化和个性化药物治疗反应的需求。
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QbTest for Monitoring Medication Treatment Response in ADHD: A Systematic Review.

Introduction: Attention deficit hyperactivity disorder (ADHD) is considered one of the most common neurodevelopmental disorders in childhood and adolescence. Pharmacological treatment plays an important part in the therapy of the disorder and verifying the effectiveness of ADHD medication is essential throughout the course of treatment. QbTest is a computerized test, for which intended use is to provide healthcare professionals with objective measurements of hyperactivity, impulsivity, and inattention to aid in the clinical assessment of ADHD and the evaluation of treatment interventions.

Methods: A systematic review of relevant articles was conducted for which QbTest was used for monitoring medication treatment response in ADHD. Literature published between 2004 and 2023 was appraised.

Results: A total of 15 studies were included in the review. Thirteen articles involved subjects diagnosed with ADHD and two studies that were related to the disorder, which evaluated QbTest in medication treatment response. Changes in QbTest data such as Q-scores, effect size, or improvement/deterioration of QbTest variables were evaluated. A clinically relevant decrease in QbTest Q-scores was found in the majority of the studies when treated with any type of ADHD medication in therapeutic doses, both in comparison to placebo and when compared from baseline to endpoint treatment.

Conclusion: QbTest can distinguish pharmacological treatment effects within hours of pharmacological titration and can be used for monitoring of long-term treatment of ADHD. A need for optimization and individualization of medication treatment response could be addressed with access to objective measures in ADHD management.

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来源期刊
Clinical Practice and Epidemiology in Mental Health
Clinical Practice and Epidemiology in Mental Health Medicine-Psychiatry and Mental Health
CiteScore
5.30
自引率
0.00%
发文量
17
期刊介绍: Clinical Practice & Epidemiology in Mental Health is an open access online journal, which publishes Research articles, Reviews, Letters in all areas of clinical practice and epidemiology in mental health covering the following topics: Clinical and epidemiological research in psychiatry and mental health; diagnosis, prognosis and treatment of mental health conditions; and frequencies and determinants of mental health conditions in the community and the populations at risk; research and economic aspects of psychiatry, with special attention given to manuscripts presenting new results and methods in the area; and clinical epidemiologic investigation of pharmaceutical agents. Clinical Practice & Epidemiology in Mental Health, a peer reviewed journal, aims to provide the most complete and reliable source of information on current developments in the field. The emphasis will be on publishing quality articles rapidly and freely available worldwide.
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