An objective measure of hyperactivity aspects with compressed webcam video

Chinese Medicine

Jörg Michael Müller¹  Thomas Wehrmann¹ 

[1] Department of Child and Adolescent Psychiatry, University Hospital Münster, Schmeddingstrasse 50, Münster, 48149, Germany

关键词: Video;    Physical activity;    Objective measure;    Hyperactivity;    ADHD;   

Others  :  1231881
DOI  :  10.1186/s13034-015-0076-1

 received in 2015-01-08, accepted in 2015-08-12,  发布年份 2015

【 摘 要 】

Background

Objective measures of physical activity are currently not considered in clinical guidelines for the assessment of hyperactivity in the context of Attention-Deficit/Hyperactivity Disorder (ADHD) due to low and inconsistent associations between clinical ratings, missing age-related norm data and high technical requirements.

Methods

This pilot study introduces a new objective measure for physical activity using compressed webcam video footage, which should be less affected by age-related variables. A pre-test established a preliminary standard procedure for testing a clinical sample of 39 children aged 6–16 years (21 with a clinical ADHD diagnosis, 18 without). Subjects were filmed for 6 min while solving a standardized cognitive performance task. Our webcam video-based video-activity score was compared with respect to two independent video-based movement ratings by students, ratings of Inattentiveness, Hyperactivity and Impulsivity by clinicians (DCL-ADHS) giving a clinical diagnosis of ADHD and parents (FBB-ADHD) and physical features (age, weight, height, BMI) using mean scores, correlations and multiple regression.

Results

Our video-activity score showed a high agreement (r = 0.81) with video-based movement ratings, but also considerable associations with age-related physical attributes. After controlling for age-related confounders, the video-activity score showed not the expected association with clinicians’ or parents’ hyperactivity ratings.

Conclusions

Our preliminary conclusion is that our video-activity score assesses physical activity but not specific information related to hyperactivity. The general problem of defining and assessing hyperactivity with objective criteria remains.

【 授权许可】

   
2015 Wehrmann and Müller.

【 图 表 】

Fig.1.

Fig.2.

【 参考文献 】

• [1]Rowland AS, Lesesne CA, Abramowitz AJ. The epidemiology of attention-deficit/hyperactivity disorder (ADHD): a public health view. Ment Retard Dev Disabil Res Rev. 2002; 8(3):162-170.
• [2]Ullebø A, Posserud M, Heiervang E, Obel C, Gillberg C (2012) Prevalence of the ADHD phenotype in 7- to 9-year-old children: effects of informant, gender and non-participation. Soc Psychiatry Psychiatr Epidemiol [serial online] 47(5):763–769. Available from: MEDLINE, Ipswich, MA. Accessed March 26, 2015
• [3]American Psychiatric Association: Section II (2013) Diagnostic criteria and codes: neurodevelopmental disorders. In: American Psychiatric Association (ed) Diagnostic and statistical manual of mental disorders, 5th edn. American Psychiatric Publishing, Arlington, pp 31–87
• [4]Steinau S. Diagnostic criteria in attention deficit hyperactivity disorder - changes in DSM 5. Front Psychiatry. 2013; 4:49.
• [5]Wolraich M, Brown L, Brown R et al.. ADHD: clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics. 2011; 128(5):1007-1022.
• [6]Taylor E, Döpfner M, Sergeant J et al.. European clinical guidelines for hyperkinetic disorder—first upgrade. Eur Child Adolesc Psychiatry. 2004; 13 Suppl 1:I7-I30.
• [7]Breuer D, Wolff Metternich T, Döpfner M. The assessment of Attention Deficit Hyperactivity Disorder (ADHD) by teacher ratings—validity and reliability of the FBB-HKS. Z Kinder Jugendpsychiatr Psychother. 2009; 37(5):431-440.
• [8]Wolraich ML, Lambert EW, Bickman L, Simmons T, Doffing MA, Worley KA. Assessing the impact of parent and teacher agreement on diagnosing attention-deficit hyperactivity disorder. J Dev Behav Pediatr. 2004; 25(1):41-47.
• [9]Evans WN, Morrill MS, Parente ST. Measuring inappropriate medical diagnosis and treatment in survey data: The case of ADHD among school-age children. J Health Econ. 2010; 29(5):657-673.
• [10]Collett B, Ohan J, Myers K. Ten-year review of rating scales. V: scales assessing attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2003; 42(9):1015-1037.
• [11]Erhart M, Dopfner M, Ravens-Sieberer U. Psychometric properties of two ADHD questionnaires: comparing the Conners’ scale and the FBB-HKS in the general population of German children and adolescents–results of the BELLA study. Eur Child Adolesc Psychiatry. 2008; 17 Suppl 1:106-115.
• [12]Howell J. The 1996 surgeon general’s report on physical activity and health. Nurse Pract Forum. 1996; 7(3):104.
• [13]Rosenbaum D. Objective measurement tools for the assessment of physical activity. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012; 55(1):88-95.
• [14]Welk GJ, Schaben JA, Morrow JRJ. Reliability of Accelerometry-based activity monitors: a generalizability study. Med Sci Sports Exerc. 2004; 36(9):1637-1645.
• [15]De Vries SI, Van Hirtum HW, Bakker I, Hopman-Rock M, Hirasing RA, Van Mechelen W. Validity and reproducibility of motion sensors in youth: a systematic update. Med Sci Sports Exerc. 2009; 41(4):818-827.
• [16]Wood AC, Asherson P, Rijsdijk F, Kuntsi J. Is Overactivity a core feature in ADHD? familial and receiver operating characteristic curve analysis of mechanically assessed activity level. J Am Acad Child Adolesc Psychiatry. 2009; 48(10):1023-1030.
• [17]Trost SG, Pate RR, Freedson PS, Sallis JF, Taylor WC. Using objective physical activity measures with youth: how many days of monitoring are needed? Med Sci Sports Exerc. 2000; 32(2):426-431.
• [18]Boonstra AM, Kooij JJ, Oosterlaan J, Sergeant JA, Buitelaar JK, Van Someren EJ. Hyperactive night and day? Actigraphy studies in adult ADHD: a baseline comparison and the effect of methylphenidate. Sleep. 2007; 30(4):433-442.
• [19]De Crescenzo F, Armando M, Vicari S et al.. The use of actigraphy in the monitoring of methylphenidate versus placebo in ADHD: a meta-analysis. Atten Defic Hyperact Disord. 2014; 6(1):49-58.
• [20]Tsujii N, Okada A, Kaku R et al.. Association between activity level and situational factors in children with attention deficit/hyperactivity disorder in elementary school. Psychiatry Clin Neurosci. 2007; 61(2):181-185.
• [21]Tsujii N, Okada A, Kaku R, Kuriki N, Hanada K, Shirakawa O. Differentiation between attention-deficit/hyperactivity disorder and pervasive developmental disorders with hyperactivity on objective activity levels using actigraphs. Psychiatry Clin Neurosci. 2009; 63(3):336-343.
• [22]Lin C, Yang A, Su C. Objective measurement of weekly physical activity and sensory modulation problems in children with attention deficit hyperactivity disorder. Res Dev Disabil. 2013; 34(10):3477-3486.
• [23]Martín-Martínez D, Casaseca-de-la-Higuera P, Alberola-López S et al.. Nonlinear analysis of actigraphic signals for the assessment of the attention-deficit/hyperactivity disorder (ADHD). Med Eng Phys. 2012; 34(9):1317-1329.
• [24]Dabkowska MM, Pracka D, Pracki T. Does actigraphy differentiate ADHD subtypes? Eur Psychiatry. 2007; 22 Supplement 1(0):S319.
• [25]Dane AV, Schachar RJ, Tannock R. Does actigraphy differentiate ADHD subtypes in a clinical research setting? J Am Acad Child Adolesc Psychiatry. 2000; 39(6):752-760.
• [26]Teicher MH, Ito Y, Glod CA, Barber NI. Objective measurement of hyperactivity and attentional problems in ADHD. J Am Acad Child Adolesc Psychiatry. 1996; 35(3):334-342.
• [27]Teicher MH. Actigraphy and motion analysis: new tools for psychiatry. Harv Rev Psychiatry. 1995; 3(1):18-35.
• [28]Heiser P, Frey J, Smidt J et al.. Objective measurement of hyperactivity, impulsivity, and inattention in children with hyperkinetic disorders before and after treatment with methylphenidate. Eur Child Adolesc Psychiatry. 2004; 13(2):100-104.
• [29]Diepold K, Moeritz S. Chapter 4: technology beyond the standard. In: Understanding MPEG-4. 1st ed. Burlington Anonymous, editor. Focal Press, MA; 2005: p.131-190.
• [30]Togasaki DM, Hsu A, Samant M et al.. The Webcam system: a simple, automated, computer-based video system for quantitative measurement of movement in nonhuman primates. J Neurosci Methods. 2005; 145(1–2):159-166.
• [31]http://www.xmedia-recode.de
• [32]http://www.3gpp.org/DynaReport/26244.htm
• [33]Döpfner M, Görtz-Dorten A, Lehmkuhl G (2008) Diagnostik-System für Psychische Störungen im Kindes- und Jugendalter nach ICD-10 und DSM-IV, DISYPS-II. Huber, Bern
• [34]Lauth GW, Heubeck BG, Mackowiak K. Observation of children with attention-deficit hyperactivity (ADHD) problems in three natural classroom contexts. Br J Educ Psychol. 2006; 76(Pt 2):385-404.
• [35]Moreno-Garcia I, Delgado-Pardo G, Roldan-Blasco C. Attention and response control in ADHD. Evaluation through integrated visual and auditory continuous performance test. Span J Psychol. 2015; 18:E1.
• [36]Raiker JS, Rapport MD, Kofler MJ, Sarver DE. Objectively-measured impulsivity and attention-deficit/hyperactivity disorder (ADHD): testing competing predictions from the working memory and behavioral inhibition models of ADHD. J Abnorm Child Psychol. 2012; 40(5):699-713.
• [37]Jonkman LM, Kemner C, Verbaten MN, Koelega HS, Camfferman G, Gaag R, Buitelaar JK, van Engeland H. Event-related potentials and performance of attention-deficit hyperactivity disorder: Children and normal controls in auditory and visual selective attention tasks. Biol Psychiatry. 1997; 41(5):595-611.
• [38]Alderson RM, Kasper LJ, Patros CHG, Hudec KL, Tarle SJ, Lea SE (2014) Working memory deficits in boys with attention deficit/hyperactivity disorder (ADHD): An examination of orthographic coding and episodic buffer processes. Child Neuropsychol, pp 1–22
• [39]Zentall SS, Meyer MJ. Self-regulation of stimulation for ADD-H children during reading and vigilance task performance. J Abnorm Child Psychol. 1987; 15(4):519-536.
• [40]Antrop I, Buysse A, Roeyers H, Van Oost P. Activity in children with ADHD during waiting situations in the classroom: a pilot study. Br J Educ Psychol. 2005; 75(Pt 1):51-69.
• [41]Sonuga-Barke EJ, Williams E, Hall M, Saxton T. Hyperactivity and delay aversion. III: the effect on cognitive style of imposing delay after errors. J Child Psychol Psychiatry. 1996; 37(2):189-194.
• [42]Petermann F, Petermann U (2007) Hamburg-Wechsler-Intelligenztest fuer Kinder—IV : HAWIK-IV; Manual; Uebersetzung und Adaption der WISC-IV von David Wechsler
• [43]Lis S, Baer N, Stein-en-Nosse C, Gallhofer B, Sammer G, Kirsch P. Objective measurement of motor activity during cognitive performance in adults with attention-deficit/hyperactivity disorder. Acta Psychiatr Scand. 2010; 122(4):285-294.
• [44]Johnson CM, Sheedy PF, Earnest F, Stanson AW. Digital subtraction angiography. Surg Clin North Am. 1984; 64(1):151-171.
• [45]Ravens-Sieberer U, Kurth B. The mental health module (BELLA study) within the German Health Interview and Examination Survey of Children and Adolescents (KiGGS): study design and methods. Eur Child Adolesc Psychiatry. 2008; 17(1):10-21.
• [46]Goodman R. The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry. 1997; 38(5):581-586.
• [47]International Classification of Diseases (2010) 10th edition. Geneva. World Health Organization. http://apps. who.int/classifications/icd10/browse/2010/en#/F90-F98 webcite
• [48]Sherar LB, Esliger DW, Baxter-Jones AD, Tremblay MS. Age and gender differences in youth physical activity: does physical maturity matter? Med Sci Sports Exerc. 2007; 39(5):830-835.