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注意缺陷多动障碍儿童注意力功能的训练

Training of attention functions in children with attention deficit hyperactivity disorder.

作者信息

Tucha Oliver, Tucha Lara, Kaumann Gesa, König Sebastian, Lange Katharina M, Stasik Dorota, Streather Zoe, Engelschalk Tobias, Lange Klaus W

机构信息

Department of Clinical and Developmental Neuropsychology, University of Groningen, The Netherlands.

出版信息

Atten Defic Hyperact Disord. 2011 Sep;3(3):271-83. doi: 10.1007/s12402-011-0059-x. Epub 2011 May 20.

DOI:10.1007/s12402-011-0059-x
PMID:21597880
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3158847/
Abstract

Pharmacological treatment of children with ADHD has been shown to be successful; however, medication may not normalize attention functions. The present study was based on a neuropsychological model of attention and assessed the effect of an attention training program on attentional functioning of children with ADHD. Thirty-two children with ADHD and 16 healthy children participated in the study. Children with ADHD were randomly assigned to one of the two conditions, i.e., an attention training program which trained aspects of vigilance, selective attention and divided attention, or a visual perception training which trained perceptual skills, such as perception of figure and ground, form constancy and position in space. The training programs were applied in individual sessions, twice a week, for a period of four consecutive weeks. Healthy children did not receive any training. Alertness, vigilance, selective attention, divided attention, and flexibility were examined prior to and following the interventions. Children with ADHD were assessed and trained while on ADHD medications. Data analysis revealed that the attention training used in the present study led to significant improvements of various aspects of attention, including vigilance, divided attention, and flexibility, while the visual perception training had no specific effects. The findings indicate that attention training programs have the potential to facilitate attentional functioning in children with ADHD treated with ADHD drugs.

摘要

多动症儿童的药物治疗已被证明是成功的;然而,药物治疗可能无法使注意力功能恢复正常。本研究基于注意力的神经心理学模型,评估了注意力训练项目对多动症儿童注意力功能的影响。32名多动症儿童和16名健康儿童参与了该研究。多动症儿童被随机分配到两种情况之一,即一种训练警觉性、选择性注意力和分散注意力等方面的注意力训练项目,或一种训练图形与背景感知、形状恒常性和空间位置等感知技能的视觉感知训练。训练项目以个体课程的形式进行,每周两次,连续四周。健康儿童未接受任何训练。在干预前后对警觉性、警惕性、选择性注意力、分散注意力和灵活性进行了检查。多动症儿童在服用多动症药物期间接受评估和训练。数据分析表明,本研究中使用的注意力训练导致注意力的各个方面有显著改善,包括警觉性、分散注意力和灵活性,而视觉感知训练没有特定效果。研究结果表明,注意力训练项目有可能促进接受多动症药物治疗的多动症儿童的注意力功能。

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本文引用的文献

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Attention training for school-aged children with ADHD: results of an open trial.注意缺陷多动障碍患儿的注意训练:一项开放性试验的结果。
J Atten Disord. 2010 Jul;14(1):86-94. doi: 10.1177/1087054709347446. Epub 2009 Oct 5.
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Vigilance and sustained attention in children and adults with ADHD.注意缺陷多动障碍儿童和成人的警觉性与持续注意力。
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Neuropsychological assessment of attention in adults with different subtypes of attention-deficit/hyperactivity disorder.对患有不同亚型注意力缺陷多动障碍的成年人注意力的神经心理学评估。
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Interaction of attention and graphomotor functions in children with attention deficit hyperactivity disorder.注意缺陷多动障碍儿童注意力与书写运动功能的相互作用。
J Neural Transm Suppl. 2007(72):249-59. doi: 10.1007/978-3-211-73574-9_31.
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Medications do not necessarily normalize cognition in ADHD patients.药物不一定能使多动症患者的认知恢复正常。
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Methylphenidate-induced improvements of various measures of attention in adults with attention deficit hyperactivity disorder.哌甲酯对患有注意力缺陷多动障碍的成年人注意力各项指标的改善作用。
J Neural Transm (Vienna). 2006 Oct;113(10):1575-92. doi: 10.1007/s00702-005-0437-7. Epub 2006 Aug 8.
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Attentional functioning in children with ADHD - predominantly hyperactive-impulsive type and children with ADHD - combined type.注意缺陷多动障碍(ADHD)以多动-冲动为主型儿童和ADHD混合型儿童的注意力功能
J Neural Transm (Vienna). 2006 Dec;113(12):1943-53. doi: 10.1007/s00702-006-0496-4. Epub 2006 Jun 1.
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Effects of methylphenidate on multiple components of attention in children with attention deficit hyperactivity disorder.哌甲酯对注意力缺陷多动障碍儿童注意力多个成分的影响。
Psychopharmacology (Berl). 2006 Apr;185(3):315-26. doi: 10.1007/s00213-006-0318-2. Epub 2006 Mar 7.
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The predictive power of combined neuropsychological measures for attention-deficit/hyperactivity disorder in children.儿童注意力缺陷/多动障碍综合神经心理学测量方法的预测能力
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An intervention approach for children with teacher- and parent-identified attentional difficulties.一种针对经教师和家长确认存在注意力问题的儿童的干预方法。
J Learn Disabil. 1999 Nov-Dec;32(6):581-90. doi: 10.1177/002221949903200609.