Lempp R, Pietsch-Breitfeld B
Abteilung für Kinder- und Jugendpsychiatrie, Universität Tübingen.
Prax Kinderpsychol Kinderpsychiatr. 1990 Mar;39(3):80-7.
A retrospective evaluation of the HAWIK (Hamburg-Wechsler Intelligence Test for Children) test profiles of 2229 children with hyperkinetic syndrome and/or minimal brain dysfunction (MBD) was used in a group comparison in order to contribute to the question whether the hyperkinetic syndrome can be regarded as an autonomous syndrome apart from MBD or not. A total collective of 3 groups were compared: a) hyperkinetic children without MBD, b) hyperkinetic children who were found to suffer from MBD, c) children admitted with the diagnosis of MBD with no symptoms of hyperactivity. The mean values and graphics showed differences in the test profiles of groups a) and c). As for the boys, there were clear differences between hyperkinetic boys with MBD, and boys with MBD without hyperactivity; the mean values were significantly lower in this group. The test results confirm the supposition that hyperkinesis does not increase the disabilities ("Leistungsschwäche") caused by MBD but to a certain extent rather affords a certain means of compensation- at least in the test situation. We can also assume that the incidence of minimal brain dysfunction differs in boys and girls.
为了探讨多动综合征能否被视为一种独立于轻微脑功能障碍(MBD)之外的综合征,我们对2229名患有多动综合征和/或轻微脑功能障碍儿童的HAWIK(汉堡-韦氏儿童智力测验)测试结果进行了回顾性评估,并进行了组间比较。总共比较了3组儿童:a)无MBD的多动儿童;b)被发现患有MBD的多动儿童;c)被诊断为MBD但无多动症状的儿童。均值和图表显示,a组和c组在测试结果上存在差异。对于男孩而言,患有MBD的多动男孩与患有MBD但无多动症状的男孩之间存在明显差异;该组的均值显著更低。测试结果证实了这样一种假设,即多动并不会增加由MBD导致的功能缺陷,反而在一定程度上提供了某种补偿方式——至少在测试情境中是如此。我们还可以假定,轻微脑功能障碍在男孩和女孩中的发病率有所不同。