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关于注意力缺陷/多动障碍的反应调节假说的评估。

An evaluation of the response modulation hypothesis in relation to attention-deficit/hyperactivity disorder.

作者信息

Farmer Richard F, Rucklidge Julia J

机构信息

Oregon Research Institute, 1715 Franklin Blvd., Eugene, Oregon 97403, USA.

出版信息

J Abnorm Child Psychol. 2006 Aug;34(4):545-57. doi: 10.1007/s10802-006-9034-y.

DOI:10.1007/s10802-006-9034-y
PMID:16783531
Abstract

Several hypotheses related to Newman's (e.g., Patterson & Newman, 1993) response modulation hypothesis were examined among adolescents with attention-deficit/hyperactivity disorder (ADHD; n=18) and normal controls (n=23). Consistent with predictions, youth with ADHD committed more passive avoidance errors (PAEs) than controls during the latter trials of a computerized go/no go task with mixed incentives, and this effect remained significant or marginally significant even after common variance associated with variables that covary with ADHD (i.e., IQ, oppositional-defiant/conduct disorder [ODD/CD] symptoms, anxious/depressed mood) was removed. While a moderate inverse association was observed between PAE frequency and the amount of time spent viewing response feedback following punishment, both categorical (diagnostic) and dimensional analyses of ADHD symptomatology indicated that ADHD and reflection on punishment feedback are uniquely associated with PAE commission. Findings from this study are discussed in relation to models of disinhibition applicable to youth with ADHD.

摘要

在患有注意力缺陷多动障碍(ADHD;n = 18)的青少年和正常对照组(n = 23)中,研究了与纽曼(例如,帕特森和纽曼,1993)的反应调节假说相关的几种假说。与预测一致,在具有混合奖励的计算机化“是/否”任务的后期试验中,患有ADHD的青少年比对照组犯下更多的被动回避错误(PAE),即使在去除与ADHD共变的变量(即智商、对立违抗/品行障碍[ODD/CD]症状、焦虑/抑郁情绪)相关的共同方差后,这种效应仍显著或接近显著。虽然观察到PAE频率与惩罚后查看反应反馈所花费的时间之间存在适度的负相关,但对ADHD症状的分类(诊断)和维度分析均表明,ADHD和对惩罚反馈的反思与PAE的产生存在独特关联。本研究结果结合适用于患有ADHD青少年的去抑制模型进行了讨论。

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