Sonuga-Barke Edmund J S, Sergeant Joseph A, Nigg Joel, Willcutt Erik
School of Psychology, Institute for Disorder on Impulse and Attention, University of Southampton, Highfield, Southampton SO17 1BJ, UK.
Child Adolesc Psychiatr Clin N Am. 2008 Apr;17(2):367-84, ix. doi: 10.1016/j.chc.2007.11.008.
In this article the authors reflect on the role of executive function (EF) deficits and delay aversion (DAv) in the diagnosis of attention deficit hyperactivity disorder (ADHD). The authors, empirical review shows clearly that EF deficits and DAv are implicated in ADHD, although neither is necessary for ADHD nor specific to it. The constructs are somewhat dissociable from one another so that each may represent a distinctive feature associated with an ADHD subsample. The authors argue that neither EF deficits nor DAv add much value to the diagnosis of ADHD as it is currently conceptualized, but may be crucial in helping to partition heterogeneity in the condition, leading to the refinement of ADHD nosology.
在本文中,作者们思考了执行功能(EF)缺陷和延迟厌恶(DAv)在注意力缺陷多动障碍(ADHD)诊断中的作用。作者们的实证综述清楚地表明,EF缺陷和DAv与ADHD有关,尽管它们对于ADHD既不是必需的,也不是ADHD所特有的。这些结构在一定程度上是可分离的,因此每一个都可能代表与ADHD亚样本相关的一个独特特征。作者们认为,就目前对ADHD的概念化而言,EF缺陷和DAv对ADHD的诊断都没有增加太多价值,但在帮助区分该病症的异质性方面可能至关重要,从而导致ADHD疾病分类学的完善。