对立违抗性障碍儿童冲动行为的初步研究  

Study on impulsivity features of oppositional defiant disorder in children

作　　者：朱焱[1] 苏林雁[2] 韦臻[2] 周明[1] 李素洁 黄斌 黄龄 

机构地区：[1]清华大学医学院第二附属医院(玉泉医院)精神卫生中心,北京100049 [2]中南大学湘雅二医院精神卫生研究所,湖南长沙410011 [3]长沙麓山国际试验学校,湖南长沙410030

出　　处：《中国儿童保健杂志》2008年第6期641-643,共3页Chinese Journal of Child Health Care

基　　金：国家自然基金项目(30300118);清华大学裕元基金(20240000563)

摘　　要：【目的】了解对立违抗性障碍(oppositional defiant disorder,ODD)的行为是否具有冲动性,以及冲动的特点。【方法】应用Dougherty等研发的GOSTOP冲动测试软件对36例ODD和67名对照组进行测验并进行病例对照分析。【结果】ODD组测验的错误率高于对照组,STOP任务抑制率低于对照组,ODD组在GO和STOP任务反应的潜伏期均大于对照组,以上差异均有显著性(P<0.01)。【结论】ODD儿童具有冲动性,冲动行为可能是其特征性症状,ODD冲动行为具有启动和抑制慢的特点。[Objective] To examine these behavioral features of oppositional defiant disorder（ODD） by neuropsycho logical test and search internal psychological mechanisms of these essential behavioral features. [Methods] Thirty-six ODD children and 67 health students in same middle school were tested by GOSTOP impulsivity paradigm （written and developed by Donald M. Dougherty）. Statistical analysed these latencies and percentage of inhibited responses used case-control study. [Result] ODD group had high error rates, lower percentages of inhibited responses and longer latencies than control group when playing GOSTOP impulsivity paradigm（P〈0.01）. [ Conclusion] Impulsivity maybe essential behavioral feature in ODD children,and slow start and difficult inhibition maybe essential impulsivity feature in ODD children.

关 键 词：对立违抗性障碍 儿童 冲动行为 病例对照研究 

分 类 号：R749.94[医药卫生—神经病学与精神病学]