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非临床样本中的执行功能障碍症状:一项使用执行功能障碍问卷的研究

Dysexecutive symptoms among a non-clinical sample: A study with the use of the Dysexecutive Questionnaire.

作者信息

Chan Raymond C. K.

机构信息

Department of Psychiatry, The University of Hong Kong.

出版信息

Br J Psychol. 2001 Aug;92 Part 3:551-565.

Abstract

Clinical studies indicate that damage to the frontal lobes may lead to a set of symptoms collectively known as 'Dysexecutive syndrome', which is characterized by changes in emotion, personality, motivation, behaviour and cognitive aspects. Factor analytical study using questionnaires measuring dysexecutive problems in everyday life also suggests a fractionation of the dysexecutive syndrome among patients with neurological disorders. As yet, very little research has been conducted to explore the base-rate of executive problems in everyday life among the non-clinical population. This pilot study aimed to explore dysexecutive behaviour similar to that of dysexecutive syndrome reported by a non-clinical sample. A total of 93 presumably normal participants were recruited. The Dysexecutive Questionnaire and a set of clinical tests of executive function were administered to all the participants. A 5-factor solution very similar to that of a previous study was derived: inhibition (factor 1), intentionality (factor 2), knowing-doing dissociation (factor 3), in-resistance (factor 4), and social regulation (factor 5). Correlation was established among the derived factors and tests of executive function. This study provides empirical evidence that a non-clinical sample may encounter similar dysexecutive behaviours in daily life. The issue of the fractionation of the executive system among the non-clinical sample will also be discussed.

摘要

临床研究表明,额叶受损可能会导致一系列统称为“执行功能障碍综合征”的症状,其特征表现为情绪、性格、动机、行为和认知方面的变化。运用问卷对日常生活中的执行功能障碍问题进行测量的因素分析研究也表明,神经障碍患者中存在执行功能障碍综合征的细分情况。然而,目前针对非临床人群在日常生活中执行功能问题的基础发生率所开展的研究极少。这项初步研究旨在探索与非临床样本所报告的执行功能障碍综合征类似的执行功能障碍行为。总共招募了93名看似正常的参与者。对所有参与者都进行了执行功能障碍问卷和一系列执行功能临床测试。得出了一个与先前研究非常相似的五因素解决方案:抑制(因素1)、意向性(因素2)、知-行分离(因素3)、抗干扰性(因素4)和社会调节(因素5)。在得出的因素与执行功能测试之间建立了相关性。本研究提供了实证证据,表明非临床样本在日常生活中可能会遇到类似的执行功能障碍行为。同时也将讨论非临床样本中执行系统细分的问题。

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