Wodka Ericka L, Loftis Christopher, Mostofsky Stewart H, Prahme Cristine, Larson Jennifer C Gidley, Denckla Martha B, Mahone E Mark
Kennedy Krieger Institute, MD, United States.
Arch Clin Neuropsychol. 2008 May;23(3):283-93. doi: 10.1016/j.acn.2007.12.004. Epub 2008 Feb 19.
To examine patterns of executive dysfunction associated with ADHD, 123 children (54 ADHD, 69 controls) of ages 8-16 years were administered selected subtests from the Delis-Kaplan Executive Function System (D-KEFS). Children with ADHD performed significantly worse than controls on measures of both basic (less executive demand) skills and those with more executive demand from the Color-Word Interference and Tower subtests; however, no group differences were noted on any of the D-KEFS contrast scores. Most subtype comparisons yielded no differences; however, children with the Combined subtype outperformed children with the Inattentive subtype on measures of both basic and executive skills from the Trail Making Test. Children with ADHD demonstrate executive dysfunction that is identified by D-KEFS summary, but not contrast scores. In this carefully screened sample of children with ADHD, few significant differences were found between groups suggesting limited sensitivity or specificity of the D-KEFS for classifying children with ADHD.
为研究与注意力缺陷多动障碍（ADHD）相关的执行功能障碍模式，对123名8至16岁的儿童（54名ADHD患儿，69名对照儿童）进行了来自德利斯科-卡普兰执行功能系统（D-KEFS）的特定子测验。ADHD患儿在基本（执行需求较低）技能以及来自颜色-文字干扰和塔楼子测验中执行需求较高的技能测量上表现显著差于对照儿童；然而，在任何D-KEFS对比分数上均未发现组间差异。大多数亚型比较未产生差异；然而，在连线测验的基本技能和执行技能测量中，混合型ADHD患儿的表现优于注意力不集中型ADHD患儿。ADHD患儿表现出执行功能障碍，这可通过D-KEFS总结分数识别，但不能通过对比分数识别。在这个经过仔细筛选的ADHD患儿样本中，组间发现的显著差异很少，这表明D-KEFS对ADHD患儿进行分类的敏感性或特异性有限。
