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注意缺陷多动障碍成人的反应抑制神经心理学评估。

Neuropsychological assessment of response inhibition in adults with ADHD.

作者信息

Epstein J N, Johnson D E, Varia I M, Conners C K

机构信息

Duke University Medical Center, Durham, NC 27710, USA.

出版信息

J Clin Exp Neuropsychol. 2001 Jun;23(3):362-71. doi: 10.1076/jcen.23.3.362.1186.

Abstract

Several theoretical models suggest that the core deficit of ADHD is a deficiency in response inhibition. While neuropsychological deficits in response inhibition are well documented in ADHD children, research on these deficits in adult ADHD populations is minimal. Twenty-five adult ADHD patients, 15 anxiety-disordered adult patients, and 30 normal adults completed three neuropsychological tests of response inhibition: the Continuous Performance Test, Posner Visual Orienting Test, and the Stop Signal Task. ADHD adults demonstrated response inhibition performance deficits when compared to both normal adults and anxiety disordered adults only on the Continuous Performance Test. A similar pattern of differences was not observed on the other two neuropsychological tests. Differing results between tasks may be due to differences in test reliability, task parameters, or the targeted area of brain functioning assessed by each test.

摘要

几种理论模型表明,注意力缺陷多动障碍(ADHD)的核心缺陷在于反应抑制能力不足。虽然ADHD儿童在反应抑制方面的神经心理学缺陷已有充分记录,但针对成年ADHD患者群体中这些缺陷的研究却很少。25名成年ADHD患者、15名患有焦虑症的成年患者和30名正常成年人完成了三项反应抑制的神经心理学测试:连续操作测试、波斯纳视觉定向测试和停止信号任务。仅在连续操作测试中,与正常成年人和患有焦虑症的成年人相比,成年ADHD患者表现出反应抑制能力缺陷。在其他两项神经心理学测试中未观察到类似的差异模式。不同测试结果之间的差异可能是由于测试信度、任务参数或每项测试所评估的大脑功能目标区域的不同所致。

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