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时间感知:它能否区分临床样本中的多动症和阅读障碍儿童?

Time perception: does it distinguish ADHD and RD children in a clinical sample?

作者信息

McGee R, Brodeur D, Symons D, Andrade B, Fahie C

机构信息

Child and Adolescent Mental Health Services, Valley Regional Hospital, Kentville, Nova Scotia, Canada.

出版信息

J Abnorm Child Psychol. 2004 Oct;32(5):481-90. doi: 10.1023/b:jacp.0000037778.61929.1b.

Abstract

This study used a double-dissociation design to evaluate whether children with ADHD demonstrated specific deficits relative to children with Reading Disorders. Recent theory suggests that ADHD children have deficits in time perception and working memory, whereas RD children have deficits in phonological decoding. The performance of 113 clinic-referred children aged 6-11 was examined using measures of working memory, phonological processing, and time perception. Respondents completed two time production tasks in which they were to judge when 30-s had elapsed, and another in which they were asked to estimate the duration of the Conners' CPT (CCPT). Time Perception and phonological processing variables were submitted to a 2 x 2 ANCOVA (ADHD vs. RD), covarying for age, SES, IQ, and working memory. Children with ADHD were more likely to overestimate the time taken for the CCPT than children without ADHD, but no group differences were found on the 30-s estimation tasks. Children with RD did not display deficits in time estimation, but showed deficits in auditory phonological processing. The lack of interaction effects supported an "etiological subtype" over the "phenocopy" model of ADHD and RD. No group differences were detected using the CCPT. Although our previous studies did not find an order effect for the Conners' CPT in a 1-hr battery, a fatigue effect was evident with a 1.5-hr battery. The implications for Barkley's behavioral inhibition theories (R. Barkley, 1997) are discussed.

摘要

本研究采用双分离设计,以评估注意力缺陷多动障碍(ADHD)儿童相对于阅读障碍(RD)儿童是否存在特定缺陷。近期理论表明,ADHD儿童在时间感知和工作记忆方面存在缺陷,而RD儿童在语音解码方面存在缺陷。使用工作记忆、语音处理和时间感知测量方法,对113名6 - 11岁的临床转诊儿童的表现进行了检查。受试者完成了两项时间生成任务,其中他们要判断30秒何时过去,另一项任务是要求他们估计康纳斯连续作业测试(CCPT)的时长。时间感知和语音处理变量被纳入一个2×2协方差分析(ADHD组与RD组),对年龄、社会经济地位(SES)、智商和工作记忆进行协变量调整。与无ADHD的儿童相比,ADHD儿童更有可能高估CCPT所需的时间,但在30秒估计任务上未发现组间差异。RD儿童在时间估计方面没有表现出缺陷,但在听觉语音处理方面存在缺陷。缺乏交互作用效应支持了ADHD和RD的“病因亚型”模型而非“表型模拟”模型。使用CCPT未检测到组间差异。尽管我们之前的研究在1小时的测试组合中未发现康纳斯连续作业测试存在顺序效应,但在1.5小时的测试组合中疲劳效应明显。本文还讨论了其对巴克利行为抑制理论(R. 巴克利,1997)的启示。

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