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注意缺陷多动障碍儿童的感觉调节功能障碍。

Sensory modulation dysfunction in children with attention-deficit-hyperactivity disorder.

作者信息

Mangeot S D, Miller L J, McIntosh D N, McGrath-Clarke J, Simon J, Hagerman R J, Goldson E

机构信息

Graduate School of Professional Psychology, University of Denver, Colorado, USA.

出版信息

Dev Med Child Neurol. 2001 Jun;43(6):399-406. doi: 10.1017/s0012162201000743.

Abstract

This study investigates the presence of sensory modulation dysfunction (SMD) among children with attention-deficit-hyperactivity disorder (ADHD). Twenty-six children with ADHD (mean age 8.3 years, 18 males, 8 females), and 30 typically developing children (mean age 8.2 years, 21 males, 9 females) were tested using a laboratory procedure that gauges responses to repeated sensory stimulation by measuring electrodermal reactivity (EDR). Parental report measures of limitations in sensory, emotional, and attentional dimensions were administered using the Short Sensory Profile, the Leiter International Performance Scale-Revised, Parent Rating subscales, and the Child Behavior Checklist (CBCL). Compared to the typical sample, the children with ADHD displayed greater abnormalities in sensory modulation on both physiological and parent-report measures. The children with ADHD also displayed more variability in responses. Within the group with ADHD, levels of SMD were highly correlated with measures of psychopathology on the CBCL. Implications of findings relate to the importance of considering sensory processing abilities in a subgroup of children with ADHD.

摘要

本研究调查了注意力缺陷多动障碍(ADHD)儿童中感觉调节功能障碍(SMD)的存在情况。对26名ADHD儿童(平均年龄8.3岁,18名男性,8名女性)和30名发育正常的儿童(平均年龄8.2岁,21名男性,9名女性)进行了测试,采用一种实验室程序,通过测量皮肤电反应(EDR)来评估对重复感觉刺激的反应。使用《简短感觉概况》《莱特国际操作量表修订版》、家长评定分量表和《儿童行为检查表》(CBCL)对感觉、情绪和注意力维度的局限性进行家长报告测量。与正常样本相比,ADHD儿童在生理和家长报告测量方面的感觉调节异常更为明显。ADHD儿童的反应也更具变异性。在ADHD组中,SMD水平与CBCL上的精神病理学测量高度相关。研究结果的意义在于,对于一部分ADHD儿童,考虑感觉处理能力非常重要。

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