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使用连续操作测试测量儿童认知和注意力功能的发展

Measurement of development of cognitive and attention functions in children using continuous performance test.

作者信息

Kanaka Noriko, Matsuda Tetsuya, Tomimoto Yasushi, Noda Yuji, Matsushima Eisuke, Matsuura Masato, Kojima Takuya

机构信息

Tamagawa University Brain Science Institute, Tokyo, and Department of Neuropsychiatry, Nihon University School of Medicine, Tokyo, Japan.

出版信息

Psychiatry Clin Neurosci. 2008 Apr;62(2):135-41. doi: 10.1111/j.1440-1819.2008.01746.x.

Abstract

AIM

The development of attention function in children is still not sufficiently clear. Although it is difficult to objectively assess attention function, continuous performance tests (CPT) can be used to objectively assess cognitive function along with attention. The development of cognitive and attention functions was examined in children using a CPT.

METHODS

A total of 541 healthy girls aged 5-12 years participated. Ten parameters were calculated: numbers of cancellations for either target stimuli (T-cancel) or non-target stimuli (N-cancel), numbers of omission errors (Omission) and commission errors (Commission), hit rate (Hit), false alarm rate (False), mean reaction time for correct response (RT), coefficient of variance for mean reaction time (CVRT), sensitivity index (d'), and lnbeta.

RESULTS

The parameters were divided into three types based on pattern of change. T-cancel, False, and Commission, which are related to inhibition of response, N-cancel, Hit, and Omission, which are related to inattention to stimuli, and CVRT, which is related to stability of processing time, exhibited significant change until 5 or 6 years of age. d', which is related to ability to discriminate between target or non-target, exhibited significant change until 8 years of age. RT, which is related to processing time, exhibited significant change until 11 years of age. lnbeta exhibited no significant differences among age groups.

CONCLUSIONS

These findings indicate that inhibition function, inattention to stimuli, and stability of processing time develop first. Discrimination ability subsequently increases based on these developments, and finally processing time is reduced.

摘要

目的

儿童注意力功能的发展仍未完全明确。尽管客观评估注意力功能存在困难,但连续性能测试(CPT)可用于客观评估认知功能及注意力。本研究使用CPT对儿童的认知和注意力功能发展进行了检测。

方法

共有541名5至12岁的健康女孩参与。计算了10个参数:目标刺激(T-取消)或非目标刺激(N-取消)的取消次数、遗漏错误数(遗漏)和错误 commission数(错误 commission)、命中率(命中)、虚报率(虚报)、正确反应的平均反应时间(RT)、平均反应时间的变异系数(CVRT)、敏感性指数(d')和lnbeta。

结果

根据变化模式将参数分为三种类型。与反应抑制相关的T-取消、虚报和错误 commission,与对刺激注意力不集中相关的N-取消、命中和遗漏,以及与处理时间稳定性相关的CVRT,在5或6岁之前表现出显著变化。与区分目标或非目标能力相关的d'在8岁之前表现出显著变化。与处理时间相关的RT在11岁之前表现出显著变化。各年龄组之间lnbeta无显著差异。

结论

这些发现表明,抑制功能、对刺激的注意力不集中和处理时间的稳定性首先发展。基于这些发展,辨别能力随后提高,最终处理时间缩短。

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