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[改良斯特鲁普测验在注意缺陷多动障碍儿童中的临床应用]

[Clinical application of the modified Stroop test to children with attention deficit/hyperactivity disorder].

作者信息

Hirasawa Toshimi, Sanada Satoshi, Yanagihara Masafumi, Miyake Kaoru, Tsushima Yasuko, Kado Yoko, Ogino Tatsuya, Nakano Kousuke, Watanabe Kiyoko, Ohtsuka Yoko

机构信息

The Joint of Graduate School (Ph. D. Program) in Science of School Education, Hyogo University of Teacher Education, Kato, Hyogo.

出版信息

No To Hattatsu. 2010 Nov;42(6):421-6.

PMID:21077351
Abstract

The Stroop test has been already applied to many children with attention deficit/hyperactivity disorder (AD/HD). There are, however, differences in the measurement of the Stroop test, and also in the background conditions of the patients, such as the status of comorbidity with learning disorder (LD), medication and the level of Intelligence Quotient (IQ), and presumably as a result, the outcome of the Stroop test shows a diversity. This study was undertaken to compare the performances of children with AD/HD to normal controls using the modified Stroop test according to the subtypes of AD/HD. Subjects in this study were 23 unmedicated children with AD/HD, ranging from 6 to 14 years of age, and 69 normal controls who were matched on sex and age. Children with AD/HD whose verbal IQ and performance IQ were above 80 showed significant differences in such indices as Incongruent Color Naming time (ICN) and the resulting index of subtracting Color Naming time (CN) from ICN (ICN-CN). As to the analysis according to the subtypes excluding 8 cases with comorbid LD, both the predominantly inattentive type and the group putting together the predominantly hyperactive-impulsive type and the combined type showed significant differences in ICN--CN compared with the normal controls. These results suggest that the inattentiveness relevant factor affects the performance of the interference task in children with AD/HD.

摘要

斯特鲁普测验已被应用于许多患有注意力缺陷多动障碍(AD/HD)的儿童。然而,斯特鲁普测验的测量方法存在差异,患者的背景条件也有所不同,例如与学习障碍(LD)的共病状况、用药情况以及智商(IQ)水平,可能正因如此,斯特鲁普测验的结果呈现出多样性。本研究旨在根据AD/HD的亚型,使用改良的斯特鲁普测验比较AD/HD儿童与正常对照组的表现。本研究的受试者为23名未用药的AD/HD儿童,年龄在6至14岁之间,以及69名在性别和年龄上匹配的正常对照组。言语智商和操作智商高于80的AD/HD儿童在诸如不一致颜色命名时间(ICN)以及从ICN中减去颜色命名时间(CN)得到的结果指数(ICN-CN)等指标上存在显著差异。在排除8例合并LD的病例后,按亚型进行分析,注意力不集中为主型以及多动冲动为主型与混合型合并的组在ICN-CN方面与正常对照组相比均存在显著差异。这些结果表明,注意力不集中相关因素会影响AD/HD儿童在干扰任务中的表现。

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