Dyck Murray J, Piek Jan P
School of Applied Psychology, Griffith University, Gold Coast, Queensland, Australia
School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia.
J Atten Disord. 2014 Jul;18(5):466-78. doi: 10.1177/1087054712441832. Epub 2012 Apr 16.
ADHD is often comorbid with other disorders, but it is often assumed that academic, language, or motor c skills problems are secondary to ADHD rather than that attention problems are secondary to the other disorder or both disorders have a shared etiology. We assessed for comorbid developmental disorders and which cognitive processes were impaired in children with ADHD.
Measures of intelligence, language, motor skills, social cognition, and executive functions were administered to children with ADHD (n = 53) and age/sex-matched typical children.
Clinically significant deficits were 2 to 7 times as common in children with ADHD as in typical children, and the structure of ability differed in the two groups. Abilities were less differentiated in children with ADHD.
The results indicate a need for comprehensive screening for developmental disorders in children with ADHD and imply that research needs to focus on how ADHD and developmental disorders may share an etiology.
注意缺陷多动障碍(ADHD)常与其他疾病共病,但人们通常认为学业、语言或运动技能问题是ADHD的继发问题,而非注意力问题是其他疾病的继发问题,或者两种疾病有共同的病因。我们评估了ADHD儿童中共病的发育障碍以及哪些认知过程受损。
对患有ADHD的儿童(n = 53)以及年龄/性别匹配的正常儿童进行智力、语言、运动技能、社会认知和执行功能的测量。
ADHD儿童中具有临床意义的缺陷比正常儿童普遍2至7倍,且两组的能力结构不同。ADHD儿童的能力分化程度较低。
结果表明有必要对ADHD儿童进行发育障碍的全面筛查,并意味着研究需要关注ADHD与发育障碍如何可能有共同的病因。