Hynd G W, Lorys A R, Semrud-Clikeman M, Nieves N, Huettner M I, Lahey B B
Department of Special Education, University of Georgia, Athens, GA 30602.
J Child Neurol. 1991;6 Suppl:S37-43. doi: 10.1177/0883073891006001s05.
This study examined the issue as to whether or not children carefully diagnosed as having either attention deficit disorder with hyperactivity (ADDH) or without hyperactivity (ADDnoH) could be distinguished on selected cognitive, academic, rapid naming, and behavioral measures. Employing a previously validated multimodal, multi-informant diagnostic process that results in reliable clinical diagnoses, 10 ADDH and 10 ADDnoH children were examined. While no significant differences in cognitive ability were noted between groups, significant underachievement was found in the children diagnosed as ADDnoH, particularly in mathematics achievement. The ADDnoH children were also significantly slower on rapid naming tasks than the ADDH children. Further, 60% of the ADDnoH children had a codiagnosis of a developmental reading or arithmetic disorder while none of the ADDH children received such a codiagnosis. Conversely, 40% of the ADDH children had a codiagnosis of conduct disorder and were rated by their parent as significantly more motorically active, impulsive, and deviant in the demonstration of age-appropriate social skills. These findings are discussed as they relate to the notion that children with attention deficit disorder may suffer from a right hemispheric syndrome.
本研究探讨了一个问题，即被仔细诊断为患有多动性注意缺陷障碍（ADDH）或无多动症状的注意缺陷障碍（ADDnoH）的儿童，在选定的认知、学业、快速命名和行为测量方面是否能够被区分开来。采用先前经验证的多模式、多信息提供者诊断流程以得出可靠的临床诊断，对10名ADDH儿童和10名ADDnoH儿童进行了检查。虽然两组之间在认知能力上未发现显著差异，但被诊断为ADDnoH的儿童存在显著的学业成绩不良情况，尤其是在数学成绩方面。ADDnoH儿童在快速命名任务上也比ADDH儿童明显更慢。此外，60%的ADDnoH儿童同时被诊断患有发育性阅读或算术障碍，而ADDH儿童中无人有此共病诊断。相反，40%的ADDH儿童同时被诊断患有品行障碍，并且他们的父母将其评定为在表现适龄社交技能时在运动方面明显更活跃、冲动且行为异常。这些发现与注意缺陷障碍儿童可能患有右半球综合征这一观点相关，并对此进行了讨论。
