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[儿童注意缺陷多动障碍的神经认知症状]

[Neurocognitive symptoms of childhood attention deficit hyperactivity disorder].

作者信息

Szérémi Andrea, Tárnok Zsanett, Farkas Luca, Dótzi József, Gádoros Júlia

机构信息

Vadaskert Gyermekpszichiatriai Korhaz es Szakambulancia, Beregszasz u. 145, Budapest, 1112 Hungary.

出版信息

Psychiatr Hung. 2005;20(4):299-311.

Abstract

OBJECTIVES

Attention Deficit Hyperactivity Disorder is the most common childhood-onset disorder that has been characterized with the dysfunction of executive functions. These functions are related to the frontal lobe, especially to different frontostriatal networks. The purpose of this study was to examine executive functions of 5-7 years old (non-literate) children with and without ADHD.

METHOD

We used well-known neuropsychological tests (and some other tests developed by us) which measure the organisation and execution of behavior and thinking. 31 children with ADHD and 26 healthy children without ADHD -- comparable to the other sample with respect to age and sex -- participated in this examination. We compared the two groups in terms of various aspects of executive functions, such as inhibition, attention, motor implementation and visual memory. The test battery used included the Colour Raven Test, a version of the Tower of Hanoi for children, the Bender A and B Test, the Block Design Subtest of the Wechsler Intelligence Scale, the children version of Rey Complex Figure Test, the Picture Attention Test and the Fruit Stroop Test. In order to explore the characteristics of the variables, the factor-analytic method was used by which the various aspects of executive functions could be separated.

RESULTS

Statistical comparison of the two groups revealed that several aspects of executive dysfunctions (strategy-constitution, inhibition, attention and motor implementation) can be seen in ADHD.

摘要

目的

注意力缺陷多动障碍是最常见的儿童期起病的疾病,其特征为执行功能障碍。这些功能与额叶有关,尤其是与不同的额纹状体网络有关。本研究的目的是检查患有和未患有注意力缺陷多动障碍的5至7岁(未识字)儿童的执行功能。

方法

我们使用了著名的神经心理学测试(以及我们开发的其他一些测试)来测量行为和思维的组织与执行。31名患有注意力缺陷多动障碍的儿童和26名未患有注意力缺陷多动障碍的健康儿童——在年龄和性别方面与另一个样本相当——参与了此次检查。我们在执行功能的各个方面,如抑制、注意力、运动执行和视觉记忆方面对两组进行了比较。所使用的测试组合包括彩色瑞文测验、儿童版河内塔、本德尔A和B测验、韦氏智力量表的积木设计分测验、雷伊复杂图形测验儿童版、图片注意力测验和水果色词测验。为了探索变量的特征,使用了因子分析方法,通过该方法可以分离执行功能的各个方面。

结果

两组的统计比较显示,在注意力缺陷多动障碍中可以看到执行功能障碍的几个方面(策略制定、抑制、注意力和运动执行)。

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