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多动症学龄前儿童执行功能的行为评定

Behavior ratings of executive function among preschoolers with ADHD.

作者信息

Mahone E Mark, Hoffman Jennifer

机构信息

Kennedy Krieger Institute, Baltimore, MD 21231, USA.

出版信息

Clin Neuropsychol. 2007 Jul;21(4):569-86. doi: 10.1080/13854040600762724.

Abstract

The Behavior Rating Inventory of Executive Function-Preschool Version (BRIEF-P; Gioia, Espy, & Isquith, 2003) was developed to assess executive function (EF) behaviors in children aged 2 to 5 years. We compared parent ratings of 25 preschool children with ADHD to 25 age-, sex-, and SES-matched controls from the BRIEF-P standardization sample. Children with ADHD were rated significantly higher than controls (p < .01) on all five primary scales (Inhibit, Shift, Emotional Control, Working Memory, Plan/Organize), and on all four indices (Inhibitory Self Control, Flexibility, Emerging Metacognition, General Executive Composite). The largest effect size was on the Working Memory scale. All five BRIEF-P clinical scales were significantly intercorrelated in the control group, and seven of ten scale intercorrelations were significant in the ADHD group. Within the ADHD group, the BRIEF-P Index scores were significantly correlated with ratings on the Conners' Parent Rating Scale, but only moderately correlated with an estimate of Verbal IQ. The BRIEF-P had low, non-significant correlations with performance-based measures of EF, and patterns of correlations were not significantly different than those between the BRIEF-P and non-EF measures (sensorimotor, receptive vocabulary). Similar to its predecessor, the BRIEF-P is sensitive to symptoms of ADHD, but appears to measure different elements of EF than those tapped by performance-based measures.

摘要

执行功能行为评定量表-学前版(BRIEF-P;乔亚、埃斯皮和伊斯基思,2003年)旨在评估2至5岁儿童的执行功能(EF)行为。我们将25名患有注意力缺陷多动障碍(ADHD)的学龄前儿童的家长评分与BRIEF-P标准化样本中25名年龄、性别和社会经济地位相匹配的对照组儿童的评分进行了比较。在所有五个主要量表(抑制、转换、情绪控制、工作记忆、计划/组织)以及所有四个指数(抑制性自我控制、灵活性、新兴元认知、总体执行功能综合指数)上,患有ADHD的儿童得分显著高于对照组(p <.01)。效应量最大的是工作记忆量表。在对照组中,BRIEF-P的所有五个临床量表之间显著相互关联,而在ADHD组中,十个量表相互关联中有七个显著相关。在ADHD组内,BRIEF-P指数得分与康纳斯父母评定量表的评分显著相关,但与言语智商估计值仅呈中度相关。BRIEF-P与基于表现的EF测量之间的相关性较低且不显著,并且相关模式与BRIEF-P和非EF测量(感觉运动、接受性词汇)之间的相关性没有显著差异。与其前身相似,BRIEF-P对ADHD症状敏感,但似乎测量的是与基于表现的测量所涉及的不同的EF要素。

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