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22q.11缺失综合征患儿的注意力缺陷

Attention deficits in children with 22q.11 deletion syndrome.

作者信息

Niklasson Lena, Rasmussen Peder, Oskarsdóttir Sólveig, Gillberg Christopher

机构信息

Department of Child and Adolescent Psychiatry, University of Göteborg, Kungsgatan 12, SE-411 19 Göteborg, Sweden.

出版信息

Dev Med Child Neurol. 2005 Dec;47(12):803-7. doi: 10.1017/S0012162205001702.

Abstract

This study examined attention abilities of children with 22q.11 deletion syndrome. Thirty children (14 males, 16 females; age range 7 to 13y) were given comprehensive neuropsychological and neuropsychiatric assessments. Learning disability was found in 13 children. Superiority in verbal over performance IQ was very common. Attention-deficit-hyperactivity disorder (mainly of inattentive subtype) was diagnosed in 13 children. There appeared to be a relation between low IQ and presence of autism spectrum problems. The presence of attention deficits was clearly supported by the scores on the Child Behavior Checklist and the Conners Questionnaire. On the Becker attention tests the reaction times were significantly longer in the two visual and auditory tests, indicating that the ability to sustain attention is critically impaired in this group. A tendency of inferiority on auditory compared with visual tests was noted but there were no specific problems with the focus-execute aspect of attention.

摘要

本研究考察了22q.11缺失综合征患儿的注意力能力。30名儿童(14名男性,16名女性;年龄范围7至13岁)接受了全面的神经心理学和神经精神病学评估。13名儿童存在学习障碍。言语智商高于操作智商的情况非常普遍。13名儿童被诊断为注意力缺陷多动障碍(主要为注意力不集中亚型)。低智商与自闭症谱系问题的存在之间似乎存在关联。儿童行为量表和康纳斯问卷的得分明确支持了注意力缺陷的存在。在贝克尔注意力测试中,两项视觉和听觉测试的反应时间显著更长,表明该组维持注意力的能力严重受损。注意到与视觉测试相比,听觉测试存在劣势倾向,但在注意力的聚焦-执行方面没有特定问题。

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