Underbjerg Mette, George Melanie S, Thorsen Poul, Kesmodel Ulrik S, Mortensen Erik L, Manly Tom
Department of Public Health, Section of Epidemiology, Aarhus University, Aarhus, Denmark ; Children's Neurocenter at Vejlefjord Rehabilitation Center, Stouby, Denmark.
MRC Cognition and Brain Sciences Unit, Cambridge, United Kingdom.
PLoS One. 2013 Dec 20;8(12):e82843. doi: 10.1371/journal.pone.0082843. eCollection 2013.
In adults and older children, evidence consistent with relative separation between selective and sustained attention, superimposed upon generally positive inter-test correlations, has been reported. Here we examine whether this pattern is detectable in 5-year-old children from the healthy population. A new test battery (TEA-Ch(J)) was adapted from measures previously used with adults and older children and administered to 172 5-year-olds. Test-retest reliability was assessed in 60 children. Ninety-eight percent of the children managed to complete all measures. Discrimination of visual and auditory stimuli were good. In a factor analysis, the two TEA-Ch(J) selective attention tasks (one visual, one auditory) loaded onto a common factor and diverged from the two sustained attention tasks (one auditory, one motor), which shared a common loading on the second factor. This pattern, which suggests that the tests are indeed sensitive to underlying attentional capacities, was supported by the relationships between the TEA-Ch(J) factors and Test of Everyday Attention for Children subtests in the older children in the sample. It is possible to gain convincing performance-based estimates of attention at the age of 5 with the results reflecting a similar factor structure to that obtained in older children and adults. The results are discussed in light of contemporary models of attention function. Given the potential advantages of early intervention for attention difficulties, the findings are of clinical as well as theoretical interest.
在成人和大龄儿童中,已有报告显示,在总体测试间正相关的基础上,选择性注意和持续性注意之间存在相对分离的证据。在此,我们研究这种模式在健康人群的5岁儿童中是否可检测到。一种新的测试组合(TEA-Ch(J))改编自先前用于成人和大龄儿童的测量方法,并施用于172名5岁儿童。对60名儿童进行了重测信度评估。98%的儿童成功完成了所有测量。视觉和听觉刺激的辨别效果良好。在一项因素分析中,TEA-Ch(J)的两项选择性注意任务(一项视觉、一项听觉)加载到一个共同因素上,并与两项持续性注意任务(一项听觉、一项运动)相分离,这两项持续性注意任务在第二个因素上有共同的载荷。样本中大龄儿童的TEA-Ch(J)因素与儿童日常注意力测试子测试之间的关系支持了这种模式,即这些测试确实对潜在的注意力能力敏感。在5岁时,有可能通过基于表现的方式获得令人信服的注意力估计值,其结果反映出与大龄儿童和成人中获得的类似因素结构。根据当代注意力功能模型对结果进行了讨论。鉴于早期干预对注意力困难的潜在优势,这些发现具有临床和理论意义。