成人注意缺陷多动障碍生态执行功能特点  

Ecological executive function characteristics in adults with attention deficit hyperactivity disorder

作　　者：曲姗[1] 张小梅[1] 钱英[1] 钱秋谨[1] 王向群[1] 王玉凤[1] 

机构地区：[1]北京大学精神卫生研究所儿童研究室,卫生部精神卫生学重点实验室(北京大学),北京100191

出　　处：《中国心理卫生杂志》2011年第11期824-828,共5页Chinese Mental Health Journal

基　　金：“十一五”国家科技支撑计划资助项目(2007BAI17B03);首都医学发展科研基金资助项目(2007-3002);卫生行业科研专项经费资助项目(200802073)

摘　　要：目的:探讨成人注意缺陷多动障碍(ADHD)生态执行功能特点。方法:对41名符合Con-ners'成人ADHD诊断会谈(Conners'Adult ADHD Diagnostic Interview for DSM-IV,CAADID)中ADHD诊断标准的门诊患者和42名年龄、受教育年限与之匹配的正常对照,进行执行功能行为评定量表成人版(BRIEF-A)自评问卷评定。结果:成人期仍符合CAADID诊断标准的ADHD患者,其BRIEF-A自评问卷,经多重检验校正后行为管理指数和元认知指数两个维度得分均高于对照组(均P<0.01),抑制、感情控制、任务启动、任务监测4个因子得分也高于对照组(均P<0.05)。结论:ADHD成人患者生态执行功能可能存在缺陷。Objective： To explore the characteristics of ecological executive function in adults with attention deficit hyperactivity disorder （ADHD）. Methods： In this cross-sectional study, 41 adult outpatients were selected as the patient group who were diagnosed as ADHD according to the Conners＇ Adult ADHD Diagnostic Interview for DSM-IV（CAADID）, and 42 normal adults were selected as the control group. Both groups were matched by age and years of education. All the subjects completed the Behavior Rating Inventory of Executive Function-Adult Version （BRIEF-A）. Results： Compared with the control group, the ADHD group got significantly higher scores in global executive composite, behavioral regulation index, and metacogniton index （ P 〈 0. 01 ）. ADHD group got higher scores in the aspects of inhibition, emotion control, initiation, task monitoring compared with controls （ P 〈 0. 05）. Conclusion： The adults with attention deficit hyperactivity disorder may have deficits in ecological executive function.

关 键 词：注意缺陷多动障碍 执行功能 成人 生态 抑制 横断面研究 

分 类 号：R749.99[医药卫生—神经病学与精神病学]