多动症儿童使用兴奋剂药物治疗后持续存在的书写困难
Persistent Handwriting Difficulties in Children With ADHD After Treatment With Stimulant Medication.
作者信息
Brossard-Racine Marie, Shevell Michael, Snider Laurie, Bélanger Stacey Ageranioti, Julien Marilyse, Majnemer Annette
机构信息
Children's National Medical Center, Washington, DC, USA.
McGill University, Montreal, Quebec, Canada Montreal Children's Hospital, Montreal, Quebec, Canada.
出版信息
J Atten Disord. 2015 Jul;19(7):620-9. doi: 10.1177/1087054712461936. Epub 2012 Nov 15.
OBJECTIVE
Children with ADHD often present with handwriting difficulties. However, the extent to which motor and attention skills influence performance in this group has not yet been explored. The objective of this study was to examine the factors associated with change in handwriting performance.
METHOD
This study examines the factors associated with change in handwriting performance of 49 children newly diagnosed with ADHD (mean age = 8.4 [SD=1.3] years) prior to and 3 months following use of a stimulant medication.
RESULTS
Handwriting legibility and speed improved significantly at follow-up evaluation. However, most of the children with legibility difficulties at baseline continued to demonstrate difficulties when evaluated 3 months after initiation of medication. Change in handwriting legibility was best determined by improvements in visual-motor integration skills (β = 0.07-0.10; p < .001), while the change in speed did not appear to be consistently related to a single factor.
CONCLUSION
Handwriting difficulties are common in children with ADHD, and medication alone is not sufficient to resolve these challenges.
目的
患有注意力缺陷多动障碍（ADHD）的儿童常常存在书写困难。然而，运动技能和注意力技能对该群体书写表现的影响程度尚未得到探究。本研究的目的是检验与书写表现变化相关的因素。
方法
本研究考察了49名新诊断为ADHD的儿童（平均年龄 = 8.4 [标准差 = 1.3] 岁）在使用兴奋剂药物之前和之后3个月书写表现变化的相关因素。
结果
在随访评估时，书写清晰度和速度有显著改善。然而，大多数在基线时存在书写清晰度困难的儿童在开始用药3个月后接受评估时仍有困难。书写清晰度的变化最好通过视觉 - 运动整合技能的改善来确定（β = 0.07 - 0.10；p <.001），而速度的变化似乎并非始终与单一因素相关。
结论
书写困难在患有ADHD的儿童中很常见，仅靠药物不足以解决这些挑战。
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