注意缺陷多动障碍儿童冲动行为与风险决策的相关性研究  

Correlation between impulsive behavior and risk decision-making in children with attention deficit hyperactivity disorder

作　　者：马宁 刘倩云 王少霞 张漫雪 王艳荣[2] 方建群[2] MA Ning;LIU Qianyun;WANG Shaoxia;ZHANG Manxue;WANG Yanrong;FANG Jianqun(The First Clinical Medical College of Ningxia Medical University,Yinchuan 750004,China;General Hospital of Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学第一临床医学院,宁夏银川750004 [2]宁夏医科大学总医院心理卫生中心,宁夏银川750004

出　　处：《宁夏医学杂志》2025年第1期36-39,共4页Ningxia Medical Journal

基　　金：宁夏回族自治区重点研发计划项目(2019BFG02006)。

摘　　要：目的探究注意缺陷多动障碍(ADHD)儿童的冲动行为与风险决策之间的相关性。方法选取50例ADHD儿童作为ADHD组,同时招募50名健康儿童作为正常儿童组,采用Barratt冲动量表评估冲动行为,采用风险偏好问卷评估风险决策。通过比较2组儿童在冲动行为和风险决策方面的差异,分析其结果之间的相关性。结果ADHD组在风险倾向收益情境得分高于正常儿童组,差异有统计学意义(P<0.05)。ADHD组在运动冲动、无计划冲动和冲动总分的得分均高于正常儿童组,差异有统计学意义(P<0.05)。无计划冲动与风险决策收益情境之间存在相关性(P<0.05)。结论ADHD儿童在收益情境下表现出更高的风险决策倾向,且无计划冲动与风险决策收益情境之间存在正相关关系。Objective To investigate the correlation between impulsive behavior and risky decision-making in children with attention deficit hyperactivity disorder.Methods Fifty children with ADHD were selected as the experimental group,while 50 normal children were recruited as the control group,and impulsive behaviors were assessed by Barratt Impulsivity Scale,and risky decision-making was assessed by Risk Preference Questionnaire.Impulsive behavior and risky decision-making differences were compared between two groups,and the results of the correlation were analyzed.Results The ADHD group scored higher than that in the normal children's group in the Risky Propensity to Gain Context(P<0.05).The ADHD group scored higher than that in the normal children's group in the Motor Impulsivity,Unplanned Impulsivity,and total Impulsivity Scores(P<0.05).There was a statistically significant correlation between the Unplanned Impulsivity and Risky Decision Making Gain Contexts(P<0.05).Conclusion ADHD children have a higher tendency to make risky decisions in the gain context,and there is a positive correlation between unplanned impulses and the risky decision-making gain context.

关 键 词：注意缺陷多动障碍 冲动行为 风险决策 

分 类 号：R749.94[医药卫生—神经病学与精神病学]