Derefinko Karen J, Adams Zachary W, Milich Richard, Fillmore Mark T, Lorch Elizabeth P, Lynam Donald R
Department of Psychology, University of Kentucky, 202A Kastle Hall, Lexington, KY, 40506-0044, USA.
J Abnorm Child Psychol. 2008 Jul;36(5):745-58. doi: 10.1007/s10802-007-9207-3. Epub 2008 Jan 3.
This study examined potential differences between the inattentive and combined ADHD subtypes using laboratory tasks assessing behavioral inhibitory processes. Seventy-five children completed two tasks of behavioral inhibition believed to isolate different processes: the cued reaction time task (CRT), a basic inhibition task, and the go/no-go task (GNG), a complex inhibition task that incorporates motivational contingencies. Three groups of participants were identified, including ADHD/Inattentive (n = 17), ADHD/Combined (n = 37), and comparison (n = 21). Results indicated that rather than showing behavioral inhibition deficits, the ADHD/I children appeared overly inhibited, as evidenced by slower reaction times across the two tasks and significantly higher errors of omission in the GNG task. Additionally, the ADHD/I children did not demonstrate cue dependency effects on the CRT task, suggesting that they were failing to incorporate relevant information before making a response. The sluggish and inhibited performance of the ADHD/I group challenges the idea that it is a subtype of ADHD.
本研究使用评估行为抑制过程的实验室任务,考察了注意力不集中型和混合型注意力缺陷多动障碍(ADHD)亚型之间的潜在差异。75名儿童完成了两项被认为可分离不同过程的行为抑制任务:线索反应时任务(CRT),一项基本抑制任务;以及停止信号任务(GNG),一项包含动机偶发事件的复杂抑制任务。确定了三组参与者,包括注意力不集中型ADHD(n = 17)、混合型ADHD(n = 37)和对照组(n = 21)。结果表明,注意力不集中型ADHD儿童并未表现出行为抑制缺陷,反而似乎过度抑制,这体现在两项任务中的反应时间较慢以及在停止信号任务中显著更高的漏报错误上。此外,注意力不集中型ADHD儿童在线索反应时任务中未表现出线索依赖效应,这表明他们在做出反应之前未能整合相关信息。注意力不集中型ADHD组迟缓且受抑制的表现对其是ADHD一种亚型的观点提出了挑战。