注意缺陷多动障碍（ADHD）主要为注意力不集中型和混合型亚型儿童的社交功能。
Social functioning in predominantly inattentive and combined subtypes of children with ADHD.
作者信息
Solanto Mary V, Pope-Boyd Sabrina A, Tryon Warren W, Stepak Brenda
机构信息
Mount Sinai School of Medicine, New York, NY 10029, USA.
出版信息
J Atten Disord. 2009 Jul;13(1):27-35. doi: 10.1177/1087054708320403. Epub 2009 Apr 16.
Abstract
OBJECTIVE
The objective of this study was to compare the social functioning of children with the Combined (CB) and Predominantly Inattentive (PI) subtypes of Attention Deficit/Hyperactivity Disorder (ADHD), controlling for comorbidity and medication-status, which may have confounded the results of previous research.
METHOD
Parents and teachers of rigorously diagnosed unmedicated children with PI or CB subtypes of ADHD, and typical comparison children, rated them on the multidimensional Social Skills Rating Scale (SSRS).
RESULTS
After co-varying for oppositionality and anxiety, social impairment was substantial and equivalent in both ADHD groups whether rated by parent or teacher. In addition, when rated by teacher, the nature of the deficits varied by subtype: Children with PI were impaired in assertiveness, whereas children with CB were deficient in self-control. These findings indicate that AD/HD subtypes differ in the nature of their social dysfunction independent of comorbidity and highlight the need for interventions to target their divergent needs.
摘要
目的
本研究的目的是比较患有注意力缺陷多动障碍（ADHD）联合型（CB）和主要注意力不集中型（PI）的儿童的社会功能，同时控制可能混淆以往研究结果的共病情况和用药状态。
方法
对严格诊断为未用药的PI或CB亚型ADHD儿童以及典型对照儿童的家长和教师，使用多维社会技能评定量表（SSRS）对他们进行评定。
结果
在对对立性和焦虑进行协变量调整后，无论是家长还是教师评定，两个ADHD组的社会功能损害都很严重且相当。此外，教师评定时，缺陷的性质因亚型而异：PI型儿童在 assertiveness方面存在缺陷，而CB型儿童在自我控制方面存在缺陷。这些发现表明，AD/HD亚型的社会功能障碍性质不同，与共病无关，并强调需要针对其不同需求进行干预。
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本文引用的文献
1
A randomized, controlled trial of integrated home-school behavioral treatment for ADHD, predominantly inattentive type.
J Am Acad Child Adolesc Psychiatry. 2007 Aug;46(8):1041-1050. doi: 10.1097/chi.0b013e318064675f.
2
Social incompetence in children with ADHD: possible moderators and mediators in social-skills training.
Clin Psychol Rev. 2007 Jan;27(1):78-97. doi: 10.1016/j.cpr.2006.03.006. Epub 2006 Jun 30.
3
A psychometric evaluation of the social skills rating system in children with attention deficit hyperactivity disorder.
Behav Res Ther. 2005 Jun;43(6):733-46. doi: 10.1016/j.brat.2004.06.004.
4
Comparison of the DSM-IV combined and inattentive types of ADHD in a school-based sample of Latino/Hispanic children.
J Child Psychol Psychiatry. 2005 Feb;46(2):166-79. doi: 10.1111/j.1469-7610.2004.00343.x.
5
Peer-assessed outcomes in the multimodal treatment study of children with attention deficit hyperactivity disorder.
J Clin Child Adolesc Psychol. 2005 Mar;34(1):74-86. doi: 10.1207/s15374424jccp3401_7.
6
The relation between sluggish cognitive tempo and DSM-IV ADHD.
J Abnorm Child Psychol. 2004 Oct;32(5):491-503. doi: 10.1023/b:jacp.0000037779.85211.29.
7
Variations in anxiety and depression as a function of ADHD subtypes defined by DSM-IV: do subtype differences exist or not?
J Abnorm Child Psychol. 2004 Feb;32(1):27-37. doi: 10.1023/b:jacp.0000007578.30863.93.
8
Social skills training in children with attention deficit hyperactivity disorder: a randomized-controlled clinical trial.
J Clin Child Adolesc Psychol. 2003 Mar;32(1):153-65. doi: 10.1207/S15374424JCCP3201_14.
9
Enhancing behavioral and social skill functioning in children newly diagnosed with attention-deficit hyperactivity disorder in a pediatric setting.
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10
Preadolescent girls with attention-deficit/hyperactivity disorder: I. Background characteristics, comorbidity, cognitive and social functioning, and parenting practices.
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