Flores Lázaro Julio César
Facultad de Psicología, Benemérita Universidad Autónoma de Puebla, México.
Psicothema. 2009 Nov;21(4):592-7.
Cormobidity characteristics in attention deficit-hyperactivity disorder (ADHD) have an important impact on the subjects' behaviour, learning and cognitive development. It has been proposed that certain comorbidity characteristics depend on the ADHD subtype (inattentive vs. hyperactive-impulsive). In this article, a neuropsychological analysis is presented of the comorbidity characteristics in 61 children with an ADHD diagnosis, divided into inattentive versus hyperactive-impulsive. The empirical results support the proposed conceptual division. Moreover, differences between cases with hyperactivity-without-impulsivity and cases with impulsivity with or without hyperactivity were analysed, and the findings revealed some significant differences and a differentiation tendency. The discussion is developed based on Barkley's and Diamond's models. It is concluded that a neuropsychological division reveals certain comorbidity characteristics in ADHD, resulting in a more precise description and the possibility of more specific treatment for each subgroup.
注意缺陷多动障碍（ADHD）中的共病特征对受试者的行为、学习和认知发展具有重要影响。有人提出，某些共病特征取决于ADHD的亚型（注意力不集中型与多动冲动型）。在本文中，对61名被诊断为ADHD的儿童的共病特征进行了神经心理学分析，这些儿童被分为注意力不集中型和多动冲动型。实证结果支持了所提出的概念划分。此外，还分析了无冲动多动病例与有或无多动的冲动病例之间的差异，结果显示出一些显著差异和分化趋势。讨论是基于巴克利和戴蒙德的模型展开的。结论是，神经心理学划分揭示了ADHD中的某些共病特征，从而能够对每个亚组进行更精确的描述，并有可能进行更具针对性的治疗。
