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口吃学龄儿童注意缺陷/多动障碍的特征。

Traits of attention deficit/hyperactivity disorder in school-age children who stutter.

机构信息

The Center for Childhood Communication, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, United States.

出版信息

J Fluency Disord. 2012 Dec;37(4):242-52. doi: 10.1016/j.jfludis.2012.08.002. Epub 2012 Aug 21.

DOI:10.1016/j.jfludis.2012.08.002
PMID:23218208
Abstract

PURPOSE

The purpose of this study was to explore whether parents of CWS reported the presence of ADHD symptoms that would warrant a referral to a psychologist to rule out the disorder. This study also aimed to describe the characteristics of the sample in terms of gender, family history of stuttering, presence of neurological impairment, concomitant diagnoses, and stuttering severity. Finally, this study sought to explore the possible statistical relations among these same variables.

METHODS

Participants were 36 school-age CWS (32 males and 4 females) between the ages of 3.9 and 17.2 years (M=10.4, SD=4.0). Parent responses on the ADHD Rating Scale (Power et al., 2001) were collected via a retrospective chart review.

RESULTS

For this sample 58% (n=21), of the participants met criteria for needing referral for additional evaluation for symptoms related to ADHD. A strong positive relation (r=.720, p<.001) was found between a reported family history of recovered stuttering and the presence of a concomitant diagnosis.

CONCLUSION

The results of the present study demonstrate the need for further training and education for SLPs working with CWS regarding ADHD.

EDUCATIONAL OBJECTIVES

The reader will be able to (1) describe the main characteristics of ADHD, (2) discuss the evidence suggesting a possible relationship between ADHD and stuttering and (3) discuss how ADHD characteristics could impact clinical outcomes for CWS.

摘要

目的

本研究旨在探讨口吃儿童(CWS)的父母是否报告存在 ADHD 症状,需要转介心理学家以排除该障碍。本研究还旨在描述样本的特征,包括性别、口吃家族史、神经系统损伤、并存诊断和口吃严重程度。最后,本研究试图探讨这些相同变量之间可能存在的统计关系。

方法

参与者为 36 名 3.9 至 17.2 岁(M=10.4,SD=4.0)的学龄期 CWS(32 名男性和 4 名女性)。通过回顾性图表审查收集 ADHD 评定量表(Power 等人,2001)上父母的反应。

结果

对于该样本,58%(n=21)的参与者符合需要进一步评估 ADHD 相关症状的标准。报告有口吃家族史与并存诊断之间存在强烈的正相关关系(r=.720,p<.001)。

结论

本研究结果表明,需要进一步培训和教育治疗口吃儿童的言语语言病理学家有关 ADHD 的知识。

教育目标

读者将能够:(1)描述 ADHD 的主要特征,(2)讨论 ADHD 与口吃之间可能存在关系的证据,以及(3)讨论 ADHD 特征如何影响 CWS 的临床结果。

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