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[来自哥伦比亚卡利的注意力缺陷/多动障碍儿童的神经心理学和行为特征]

[Neuropsychological and behavioral profiles of children with attention deficit/hyperactivity disorder from cali, colombia].

作者信息

Bará-Jiménez S, Vicuña P, Pineda D A, Henao G C

机构信息

Grupo de Neuropsicología y Conducta, Universidad de San Buenaventura, Medellín, Colombia.

出版信息

Rev Neurol. 2003;37(7):608-15.

Abstract

INTRODUCTION

Several studies have found neuropsychological and behavioral disorders in children with attention deficit/hyperactivity disorder (ADHD), which have been explained as an executive dysfunction.

OBJECTIVE

To describe and compare children with ADHD and a control group.

PATIENTS AND METHODS

79 seven to eleven-year-old children were selected and grouped according to ADHD DSM IV criteria and the T scores on a ADHD checklist. They were classified as predominantly inattentive (n=19), combined (n=24) and control (n=36) groups. Age, gender, socio economic status and intellectual quotient (>85) were statistically controlled. Neuropsychological functions were assessed with a child neuropsychological battery, and the behavioral dimensions were evaluated with the BASC's questionnaires, Conner's parents (CPRS) and teachers (CTRS) rating scales, and with a questionnaire for oppositional defiant (ODD) and conduct (CD) disorders.

RESULTS

Statistically significant differences were found (P<0.01) in neuropsychological variables of mental control, continuous auditory performance, Rey's complex figure evocation and the Stroop's test. There were significant differences in the most BASC's internalizing and externalizing dimensions, so for the parents as for the teachers and self report questionnaire, and in the dimensions of CPRS, CTRS, ODD and CD questionnaires.

CONCLUSION

Children with ADHD showed difficulties in sustained and selective attention, visual memory, inhibitory control, and they had behavioral disorders similar to those informed by previous studies.

摘要

引言

多项研究发现,患有注意力缺陷/多动障碍(ADHD)的儿童存在神经心理和行为障碍,这些障碍被解释为执行功能障碍。

目的

描述并比较患有ADHD的儿童与对照组儿童。

患者与方法

选取79名7至11岁儿童,根据ADHD DSM IV标准和ADHD检查表上的T分数进行分组。他们被分为主要注意力不集中组(n = 19)、混合型组(n = 24)和对照组(n = 36)。对年龄、性别、社会经济地位和智商(> 85)进行了统计学控制。使用儿童神经心理测验组合评估神经心理功能,并使用BASC问卷、康纳父母评定量表(CPRS)和教师评定量表(CTRS)以及对立违抗(ODD)和品行障碍(CD)问卷评估行为维度。

结果

在心理控制、连续听觉能力、雷伊复杂图形唤起和斯特鲁普测验的神经心理变量方面发现了具有统计学意义的差异(P < 0.01)。在BASC的大多数内化和外化维度上存在显著差异,无论是父母报告、教师报告还是自我报告问卷,以及在CPRS、CTRS、ODD和CD问卷的维度上。

结论

患有ADHD的儿童在持续和选择性注意力、视觉记忆、抑制控制方面存在困难,并且他们具有与先前研究报告相似的行为障碍。

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