注意缺陷多动障碍儿童首次就诊的智力结构分析  

Structure of intelligence in children with attention deficit hyperactivity disorder

作　　者：贾艳滨[1] 李淑仪[1] 肖计划[2] 蔡荣[2] 

机构地区：[1]暨南大学附属第一医院精神心理科,广东广州510632 [2]中山大学人力资源开发中心心理测试中心,广东广州510632

出　　处：《暨南大学学报（自然科学与医学版）》2010年第6期588-591,共4页Journal of Jinan University(Natural Science & Medicine Edition)

基　　金：广州市卫生局科技攻关计划(2007Z3-E061)

摘　　要：目的:测试首次就诊、未经治疗的注意缺陷多动障碍(Attention Deficit Hyperactivity Disorder,ADHD)儿童的智力结构。方法:采用韦氏儿童智力量表修订本(C-WISC)对33名ADHD儿童和33名正常儿童进行智力评估。结果:ADHD儿童言语智商(VIQ)为(102.55±14.16)、操作智商(PIQ)为(99.39±10.21)及总智商(FIQ)为(101.24±11.33),均分别低于正常儿童(115.91±9.53、113.91±10.93及116.76±10.60),差异有极显著性意义(P<0.01);各分测验(除外图形拼凑)均显著低于正常儿童(P<0.05,P<0.01);ADHD儿童组言语智商VIQ-PIQ差值(13.35±8.75)显著高于对照组(7.31±4.14)(P<0.05)。结论:ADHD儿童智商结果普遍下降,智力结构因为注意缺陷全面受损。操作智商发育落后于言语智商,智力结构发展不平衡。Aim：To study the structure of intelligence in children with attention deficit hyperactivity disorder（ADHD）.The children were first to see doctor and were not treated by medication and other psychotherapy.Thirty-three children with ADHD and 33 healthy controlled were evaluated with the Chinese Version Wechsler intelligence scale for children（C-WISC）.The verbal scale intelligence quotient（VIQ,101.94±13.94）,performance scale intelligence quotient（PIQ,99.19±10.30） and full scale intelligence quotient（FIQ,100.78±11.20） in children with ADHD were significantly lower than those（VIQ,115.7±9.81;PIQ,114.30±10.84;FIQ,116.80±10.74） in healthy control（P0.01）.And subtests of C-WISC（excluding object Assembly,OA） were significantly lower than those of controlled（P0.05,P0.01）;The differences of（VIQ-PIQ） in children with ADHD（13.35±8.75） was significantly higher than healthy control（7.31±4.14）（P0.05）.The IQ in children with ADHD were pervasively decreased.The structure of intelligence was influenced because of attention deficit,and was not equal.VIQ had a developmental disorder than PIQ in children with ADHD.

关 键 词：注意缺陷多动障碍 智力 儿童 认知障碍 

分 类 号：R749.94[医药卫生—神经病学与精神病学] B842[医药卫生—临床医学]