注意缺陷型和混合型注意缺陷多动障碍儿童的眼跳特征  

Saccadic performance character istics of ADHD-combined and ADHD-inattentive children

作　　者：卜晓艳[1,2] 田学红[3,2] 刘敏芳[4,2] 

机构地区：[1]孝感学院教育与心理学院,湖北孝感432000 [2]浙江师范大学心理学系,浙江金华321004 [3]杭州师范大学教育科学学院,杭州310036 [4]贵州大学职业技术学院,贵阳550003

出　　处：《中国心理卫生杂志》2010年第9期685-690,共6页Chinese Mental Health Journal

基　　金：浙江省哲学社会科学重点课题(z05jy01)

摘　　要：目的:使用眼跳任务深入研究不同亚型注意缺陷多动障碍(Attention deficit hyperactivity disor-der,ADHD)儿童的抑制损伤。方法:选取金华市2所小学1500人,使用DSM-Ⅳ诊断标准、Conners儿童行为量表(父母问卷和教师问卷),筛查出10～13岁儿童48名,其中注意缺陷型(I型)11人,混合型(C型)19人,对照组18人,全体进行了正向眼跳和反向眼跳。结果:⑴反向眼跳中对照组的错误率低于I型和C型[(37.97±13.14)%vs.(70.90±15.78)%,(84.04±12.84)%;均P<0.001],I型的错误率低于C型(P=0.015)。⑵对照组比C型更容易改正错误的眼跳[(95.39±7.49)%vs.(85.54±15.87)%,P<0.05],对照组的矫正反应时要短于I型和C型(P<0.05)。⑶反向眼跳中C型比对照组和I型精确性更差[(5.47±1.63)°vs.(4.41±1.00)°,(4.23±1.31)°;P<0.05],正向眼跳中ADHD儿童有更多的先期性眼跳[(3.11±4.55)%vs.(1.11±1.98)%,P<0.05]。结论:研究提示C型和I型的ADHD儿童存在抑制功能损伤,且I型的抑制功能好于C型。Objective： To analyze inhibition difference in subtypes of attention-deficit/hyperactivity disorder （ ADHD） using saccade tasks. Methods： Forty-eight children aged 10 -13 years, including 19 cases with ADHD- combined, 11 cases with ADHD-inattentive, and 18 control subjects, were selected according to DSM-Ⅳ diagnosis, the Conners Teacher Rating Seale and Parent Symptom Questionnaire from 1500 pupils of 2 primary schools in Jinhua city. All performed 2 saccade tasks： prosaccade and antisaccade. Results： （1） Both ADHD-combined and ADHD-inattentive children exhibited more response suppression errors than children without ADHD on the antisaccade task[ （ 37.97± 13. 14 ） % vs. （ 70. 90 ± 15.78 ） %, （ 84. 04 ± 12. 84 ） % ; P 〈 0. 001 ]. Furthermore, in comparison with ADHD-combined children, errors were lower in ADHD-inattentive children （ P = 0. 015 ） . （2） Children without ADHD showed a higher correct rate than ADHD-combined [ （95.39±7.49） % vs. （85. 54 ±15.87） %, P 〈0. 05] and a shorter correction time than both of two ADI-ID groups （ P 〈0. 05） . （3） ADHD-combined showed a worse accuracy than children without ADHD on the antisaccade task [ （ 5.47 ± 1.63 ） ° vs. （ 4. 41 ± 1.00 ）°, （ 4. 23± 1.31 ）° ; P 〈 0. 05 ] . ADHD children showed a higher rate of anticipatory saccades than children without ADHD on the prosaccade task [ （ 3. 11 ± 4.55 ） % vs. （ 1.11 ± 1.98 ） %, P 〈 0. 05 ] . Conclusion： Integrative views of deficits in inhibition have been fond in ADHD-inattentive and ADHD-combined children; and the former maybe better response suppression than the latter.

关 键 词：注意缺陷多动障碍 亚型 抑制 眼跳 病例对照研究 

分 类 号：R749.94[医药卫生—神经病学与精神病学]