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August 8, 2022
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Article

Attention Deficit Hyperactivity Disorder Assessment Based on Patient Behavior Exhibited in a Car Video Game: A Pilot Study

Publicated to: Brain Sciences. 12 (7): - 2022-01-01 12(7), DOI: 10.3390/brainsci12070877

Authors:

Sujar, A; Bayona, S; Delgado-Gomez, D; Miguelez-Fernandez, C; Ardoy-Cuadros, J; Penuelas-Calvo, I; Baca-Garcia, E; Blasco-Fontecilla, H
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Affiliations

Carlos III Inst Hlth, CIBERSAM Ctr Invest Salud Mental, Madrid 28029, Spain - Author
Hosp Nino Jesus, Dept Child & Adolescent Psychiat, Madrid 28009, Spain - Author
IIS Jimenez Diaz Fdn, Dept Psychiat, Madrid 28040, Spain - Author
ITA Mental Hlth, Madrid 28043, Spain - Author
Puerta de Hierro Univ Hosp, Hlth Res Inst Puerta de Hierro Segovia de Arana I, Dept Psychiat, Majadahonda 28222, Spain - Author
Univ Autonoma Madrid, Dept Psychiat, Madrid 28049, Spain - Author
Univ Carlos III, Dept Stat, Getafe 28903, Spain - Author
Univ Hosp 12 Octubre, Dept Child & Adolescent Psychiat, Madrid 28041, Spain - Author
Univ Politecn Madrid, Ctr Computat Simulat, Boadilla Del Monte 28040, Spain - Author
Univ Rey Juan Carlos, Dept Comp Engn, Madrid 28933, Spain - Author
Univ Rey Juan Carlos, Fac Hlth Sci, Dept Psychol, Avda Atenas S-N, Alcorcon 28922, Spain - Author
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Abstract

Symptoms of Attention Deficit Hyperactivity Disorder (ADHD) include excessive activity, difficulty sustaining attention, and inability to act in a reflective manner. Early diagnosis and treatment of ADHD is key but may be influenced by the observation and communication skills of caregivers, and the experience of the medical professional. Attempts to obtain additional measures to support the medical diagnosis, such as reaction time when performing a task, can be found in the literature. We propose an information recording system that allows to study in detail the behavior shown by children already diagnosed with ADHD during a car driving video game. We continuously record the participants' activity throughout the task and calculate the error committed. Studying the trajectory graphs, some children showed uniform patterns, others lost attention from one point onwards, and others alternated attention/inattention intervals. Results show a dependence between the age of the children and their performance. Moreover, by analyzing the positions by age over time using clustering, we show that it is possible to classify children according to their performance. Future studies will examine whether this detailed information about each child's performance pattern can be used to fine-tune treatment.
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Keywords

AdhdAdolescentArticleAttention deficit hyperactivity disorderAttention deficitsAttention spanBehavioral patternsBehavioral scienceCar drivingCaregiverChildChildrenClinical articleCommunication skillContinuous performance testContinuous performance-testDeficit/hyperactivity disorderDisease assessmentDsm-5E-healthElectroencephalogramExergamingFemaleGame addictionHumanHyperactivityImpactInattentionMachine learningMaleMental diseaseNeurodevelopmental disordersPilot studyQuestionnaireReaction timeReflexSymptomsTask performanceTrajectory graphUtilityValidityVideo gameVideo gamesVirtual-realityWorking memory

Quality index

Bibliometric impact. Analysis of the contribution and dissemination channel

The work has been published in the journal Brain Sciences, and although the journal is classified in the quartile Q3 (Agencia WoS (JCR)), its regional focus and specialization in Neurosciences, give it significant recognition in a specific niche of scientific knowledge at an international level.

Independientemente del impacto esperado determinado por el canal de difusión, es importante destacar el impacto real observado de la propia aportación.

Según las diferentes agencias de indexación, el número de citas acumuladas por esta publicación hasta la fecha 2025-12-21:

  • WoS: 4
  • Scopus: 6
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Impact and social visibility

From the perspective of influence or social adoption, and based on metrics associated with mentions and interactions provided by agencies specializing in calculating the so-called "Alternative or Social Metrics," we can highlight as of 2025-12-21:

  • The use, from an academic perspective evidenced by the Altmetric agency indicator referring to aggregations made by the personal bibliographic manager Mendeley, gives us a total of: 55.
  • The use of this contribution in bookmarks, code forks, additions to favorite lists for recurrent reading, as well as general views, indicates that someone is using the publication as a basis for their current work. This may be a notable indicator of future more formal and academic citations. This claim is supported by the result of the "Capture" indicator, which yields a total of: 56 (PlumX).

With a more dissemination-oriented intent and targeting more general audiences, we can observe other more global scores such as:

  • The Total Score from Altmetric: 2.
  • The number of mentions on the social network X (formerly Twitter): 1 (Altmetric).

It is essential to present evidence supporting full alignment with institutional principles and guidelines on Open Science and the Conservation and Dissemination of Intellectual Heritage. A clear example of this is:

  • The work has been submitted to a journal whose editorial policy allows open Open Access publication.
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Awards linked to the item

This research was partially funded by: Ministerio de Ciencia, Innovacion y Universidades, Spanish National Project, grant number RTI2018-101857-B-I00, Ministerio de Universidades (Grant for the requalification of permanent lectures, David Delgado-Gomez), Instituto Salud Carlos III, grant number DTS21/00091.
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