注意缺陷多动障碍儿童认知功能的对照研究  

Cognitive Function in Children with Attention Deficit Hyperactivity Disorder Subtypes

作　　者：周韦华[1] 罗学荣[1] 李雪荣[1] 

机构地区：[1]中南大学湘雅二医院精神卫生研究所,湖南长沙410011

出　　处：《中国临床心理学杂志》2005年第2期187-189,共3页Chinese Journal of Clinical Psychology

基　　金：国家自然科学基金资助(项目号:39770277)

摘　　要：目的:探讨注意缺陷多动障碍各亚型的认知功能。方法:对113名8-12岁注意缺陷多动障碍男童与83名正常儿童采用威斯康星卡片分类测验进行对照研究。结果:ADHD各型儿童的分类次数和概括力水平均低于对照组,并以混合型最低,而注意冲动型与混合型的持续性反应与持续性错误均明显高于对照组。在控制智力因素后,仍存在显著性差异。在ADHD各亚型间,以混合型最明显,其次为注意障碍型,三型之间除非持续性错误外,主要指标比较无显著性差异。结论:ADHD儿童存在认知功能损害,且不同亚型之间的损害程度不同。Objective: The aim was to evaluate deficits of executive functions in children with attention-deficit/hyperactivity disorder (ADHD) classified by types (combined type , predominantly inattentive type , predominantly hyperactive -impulsive type ). Methods: 113 children fulfilled ADHD criteria of DSM-Ⅳ and 83 normal control children were administered the Wisconsin Card Sort Test (WCST), Children with ADHD were divided into three groups: predominantly inattentive type (54 cases);predominantly hyperactive -impulsive type (25 cases);and combined type( 34 cases). Results: On the WCST, we found children with ADHD presented significantly more impairments than normal controls. children with the combined subtype (ADHD-C) and the predominantly inattentive subtype (ADHD-I) presented significantly more preservative errors and non-preseverative errors than did control subjects. In the subtypes, children with the combined type (ADHD-C) presented most impairments. Conclusion: Our data suggested that children with ADHD has different cognitive impairments among ADHD subtypes.

关 键 词：注意缺陷多动障碍儿童 对照研究 威斯康星卡片分类测验 显著性差异 ADHD 认知功能损害 持续性反应 混合型 正常儿童 智力因素 注意障碍 非持续性 指标比较 损害程度 不同亚型 对照组 12岁 冲动型 

分 类 号：R749.94[医药卫生—神经病学与精神病学] R748[医药卫生—临床医学]