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用托莫西汀改善注意缺陷多动障碍男孩的视觉记忆、注意力及学校功能

Improving visual memory, attention, and school function with atomoxetine in boys with attention-deficit/hyperactivity disorder.

作者信息

Shang Chi-Yung, Gau Susan Shur-Fen

机构信息

Department of Psychiatry, National Taiwan University Hospital & College of Medicine, National Taiwan University, Taipei, Taiwan.

出版信息

J Child Adolesc Psychopharmacol. 2012 Oct;22(5):353-63. doi: 10.1089/cap.2011.0149.

Abstract

OBJECTIVE

Atomoxetine is efficacious in reducing symptoms of attention- deficit/hyperactivity disorder (ADHD), but its effect on visual memory and attention needs more investigation. This study aimed to assess the effect of atomoxetine on visual memory, attention, and school function in boys with ADHD in Taiwan.

METHOD

This was an open-label 12 week atomoxetine treatment trial among 30 drug-naíve boys with ADHD, aged 8-16 years. Before administration of atomoxetine, the participants were assessed using psychiatric interviews, the Wechsler Intelligence Scale for Children, 3rd edition (WISC-III), the school function of the Chinese version of the Social Adjustment Inventory for Children and Adolescents (SAICA), the Conners' Continuous Performance Test (CPT), and the tasks of the Cambridge Neuropsychological Test Automated Battery (CANTAB) involving visual memory and attention: Pattern Recognition Memory, Spatial Recognition Memory, and Reaction Time, which were reassessed at weeks 4 and 12.

RESULTS

Our results showed there was significant improvement in pattern recognition memory and spatial recognition memory as measured by the CANTAB tasks, sustained attention and response inhibition as measured by the CPT, and reaction time as measured by the CANTAB after treatment with atomoxetine for 4 weeks or 12 weeks. In addition, atomoxetine significantly enhanced school functioning in children with ADHD.

CONCLUSION

Our findings suggested that atomoxetine was associated with significant improvement in visual memory, attention, and school functioning in boys with ADHD.

摘要

目的

托莫西汀在减轻注意力缺陷/多动障碍(ADHD)症状方面有效,但其对视觉记忆和注意力的影响尚需更多研究。本研究旨在评估托莫西汀对台湾患有ADHD男孩的视觉记忆、注意力及学校功能的影响。

方法

这是一项针对30名8至16岁未服用过药物的ADHD男孩进行的为期12周的托莫西汀开放标签治疗试验。在服用托莫西汀之前,通过精神科访谈、韦氏儿童智力量表第三版(WISC-III)、中文版儿童青少年社会适应量表(SAICA)的学校功能部分、康纳斯连续作业测试(CPT)以及剑桥神经心理测试自动成套系统(CANTAB)中涉及视觉记忆和注意力的任务:模式识别记忆、空间识别记忆和反应时间对参与者进行评估,在第4周和第12周时再次进行评估。

结果

我们的结果显示,在使用托莫西汀治疗4周或12周后,通过CANTAB任务测量的模式识别记忆和空间识别记忆、通过CPT测量的持续注意力和反应抑制以及通过CANTAB测量的反应时间均有显著改善。此外,托莫西汀显著增强了ADHD儿童的学校功能。

结论

我们的研究结果表明,托莫西汀与患有ADHD男孩的视觉记忆、注意力及学校功能的显著改善相关。

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