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共患注意缺陷多动障碍和发育性协调障碍:使用 WISC-IV 检查认知功能。

Comorbid ADHD and DCD: examining cognitive functions using the WISC-IV.

机构信息

School of Psychology and Speech Pathology, Curtin Health Innovation Research Institute, Curtin University, Western Australia, Australia.

出版信息

Res Dev Disabil. 2011 Jul-Aug;32(4):1260-9. doi: 10.1016/j.ridd.2011.02.008. Epub 2011 Mar 4.

Abstract

This study explored the cognitive performance of children with Attention Deficit/Hyperactivity Disorder (ADHD) and/or Developmental Coordination Disorder (DCD) using the Wechsler Intelligence Scale for Children-IV. Participants were 62 children with ages between 9 years 8 months and 12 years 7 months. These children were placed into one of the four groups: Comparison (n=26), ADHD (n=14), DCD (n=11), and ADHD+DCD (n=11) groups. The ADHD symptoms were assessed using the Australian Disruptive Behaviours Scale, and motor ability was assessed using the McCarron Assessment of Neuromuscular Development (MAND). Significantly poorer perceptual reasoning ability was seen in DCD and ADHD+DCD groups but not in the ADHD group. The findings provide evidence that a deficit in visuo-spatial ability may underlie DCD but not ADHD. These findings revealed different cognitive profiles for ADHD and/or DCD, thus the current study does not lend support to the common aetiology hypothesis in understanding the basis of ADHD and DCD comorbidity.

摘要

本研究使用韦氏儿童智力量表第四版(Wechsler Intelligence Scale for Children-IV)探讨了注意力缺陷多动障碍(ADHD)和/或发育性协调障碍(DCD)儿童的认知表现。参与者为 62 名年龄在 9 岁 8 个月至 12 岁 7 个月之间的儿童。这些儿童被分为四个组之一:对照组(n=26)、ADHD 组(n=14)、DCD 组(n=11)和 ADHD+DCD 组(n=11)。使用澳大利亚破坏性行为量表评估 ADHD 症状,使用 McCarron 神经肌肉发育评估(MAND)评估运动能力。DCD 和 ADHD+DCD 组的知觉推理能力明显较差,但 ADHD 组则不然。这些发现为视空间能力缺陷可能是 DCD 的基础但不是 ADHD 的基础提供了证据。这些发现揭示了 ADHD 和/或 DCD 的不同认知特征,因此本研究不支持在理解 ADHD 和 DCD 共病基础方面的常见病因假说。

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