Purdue University, West Lafayette, IN 47907, USA.
J Atten Disord. 2013 May;17(4):308-29. doi: 10.1177/1087054711430332. Epub 2012 Jan 27.
The purpose of this review of students with attention deficit hyperactivity disorder (ADHD) was to summarize the following: (1) academic deficits in math and reading, (2) possible theoretical contributors to these deficits, and (3) psychostimulant interventions that target math and reading, as well as, parallel interventions involving sensory stimulation.
A comprehensive examination of the literature was conducted on children with ADHD with and without co-occurring disabilities, summarizing their reading and math achievement and the effects of psychostimulant and sensory stimulant interventions on these academic areas.
Students without co-occurring disabilities (ADHD-) had fewer deficits in reading than in math and than students with co-occurring disabilities (ADHD+). Furthermore, students with ADHD+ demonstrated greater responsiveness to psychostimulants through improved reading recognition and math calculations, with limited gains in literal reading comprehension. Added sensory stimulation produced differential gains for both groups in reading recognition and comprehension and in math calculations and problem solving.
The efficacy of psychostimulants was documented on specific areas of achievement for the ADHD+ group, but this review did not support the administration of psychostimulants for students with ADHD-. For both groups of students, differential gains, losses, and habituation were documented in response to sensory stimulation for both subareas within reading and math, which were interpreted as support for the optimal stimulation theory.
本综述旨在总结患有注意缺陷多动障碍(ADHD)学生的以下问题:(1)在数学和阅读方面的学业缺陷;(2)这些缺陷的可能理论成因;(3)针对数学和阅读的精神兴奋剂干预措施,以及涉及感官刺激的平行干预措施。
对伴有或不伴有共患病的 ADHD 儿童进行了全面的文献综述,总结了他们的阅读和数学成绩,以及精神兴奋剂和感官兴奋剂干预措施对这些学习领域的影响。
无共患病(ADHD-)的学生在阅读方面的缺陷比数学方面少,比伴有共患病(ADHD+)的学生少。此外,ADHD+ 学生对精神兴奋剂的反应更为敏感,表现为阅读识别和数学计算能力的提高,而在字面阅读理解方面的增益有限。增加感官刺激对阅读识别和理解、数学计算和解决问题方面,两组学生都有不同程度的增益。
精神兴奋剂对 ADHD+ 组的特定成就领域具有疗效,但本综述不支持对 ADHD- 学生使用精神兴奋剂。对于两组学生,在阅读和数学的各个子领域,均记录到了对感官刺激的差异性增益、损失和习惯化,这被解释为对最佳刺激理论的支持。