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[患有注意力缺陷/多动障碍和广泛性发育障碍的儿童:儿童连续操作测试中的注意力和反应抑制]

[Children with attention deficit/hyperactivity disorder and pervasive developmental disorder:attention and response inhibition in the kiddie continuous performance test].

作者信息

Tsushima Yasuko, Sanada Satoshi, Yanagihara Masafumi, Ohno Shigeru, Hirasawa Toshimi, Oka Makio, Ogino Tatsuya, Ohtsuka Yoko

机构信息

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

出版信息

No To Hattatsu. 2011 Sep;43(5):367-71.

Abstract

Continuous Performance Test (CPT) is widely used to assess the attention function and response inhibition in both children and adults. This study attempts to examine the performances of boys with attention deficit/hyperactivity disorder (AD/HD) and pervasive developmental disorder (PDD) with and without comorbid AD/HD using a CPT. Among the various versions of the CPT available, we used the Kiddie CPT (K-CPT) modified for younger children. The K-CPT was administered to children with AD/HD (n=22), those with PDD (n=19), and typically developing children (n=41) from 7 to 12 years of age. All children were drug free at the time of examination. The performances were examined in 6 measures:total number of omission errors (OE), total number of commission errors (CE), mean hit reaction time (HRT), hit reaction time standard error (HRTSE), perceptual sensitivity (d'), and response style (beta). Significantly lower scores in d' and a tendency to more errors in CE were found in the AD/HD group compared with the control group. Significantly lower scores in d' and significantly more errors in CE were also found in the PDD group with AD/HD symptoms compared with the control group. Moreover the AD/HD group showed significantly more errors in OE and higher scores in HRTSE compared with the control group. There were no significant group differences between the PDD group without AD/HD symptoms and the control group on all measures. Less favorable scores in AD/HD suggest inadequate selective attention, sustained attention and/or response inhibition. Results of the PDD group with comorbid AD/HD may reflect a basis of AD/HD impairment. Our findings may provide an understanding of neuropsychological characteristics underlying developmental disorders.

摘要

连续性能测试(CPT)被广泛用于评估儿童和成人的注意力功能及反应抑制能力。本研究试图使用CPT来检验患有注意力缺陷/多动障碍(AD/HD)的男孩以及患有广泛性发育障碍(PDD)且伴有或不伴有共病AD/HD的男孩的表现。在现有的各种CPT版本中,我们使用了针对年幼儿童修改后的儿童版CPT(K-CPT)。对年龄在7至12岁的AD/HD儿童(n = 22)、PDD儿童(n = 19)以及发育正常的儿童(n = 41)进行了K-CPT测试。所有儿童在测试时均未服药。通过6项指标对表现进行了检验:遗漏错误总数(OE)、错误反应总数(CE)、平均命中反应时间(HRT)、命中反应时间标准误差(HRTSE)、感知敏感性(d')和反应方式(β)。与对照组相比,AD/HD组的d'得分显著更低,且CE错误倾向更多。与对照组相比,伴有AD/HD症状的PDD组的d'得分也显著更低,CE错误也显著更多。此外,与对照组相比,AD/HD组的OE错误显著更多,HRTSE得分更高。在所有指标上,无AD/HD症状的PDD组与对照组之间无显著组间差异。AD/HD组中不太理想的分数表明选择性注意力、持续性注意力和/或反应抑制不足。伴有共病AD/HD的PDD组的结果可能反映了AD/HD损伤的基础。我们的研究结果可能有助于理解发育障碍背后的神经心理学特征。

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