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患有注意力缺陷多动障碍的男孩和女孩的冷热执行功能发展

Development of Hot and Cold Executive Function in Boys and Girls With ADHD.

作者信息

Skogli Erik Winther, Andersen Per Normann, Hovik Kjell Tore, Øie Merete

机构信息

1 Innlandet Hospital Trust, Lillehammer, Norway.

2 University of Oslo, Norway.

出版信息

J Atten Disord. 2017 Feb;21(4):305-315. doi: 10.1177/1087054714524984. Epub 2016 Jul 28.

DOI:10.1177/1087054714524984
PMID:24626329
Abstract

OBJECTIVE

To investigate the development of executive function with pronounced emotional salience (hot EF) and less pronounced emotional salience (cold EF) in boys and girls with ADHD relative to typically developing (TD) children.

METHOD

Seventy-five children with ADHD and 47 TD children were assessed with hot and cold EF tests at baseline and after 2 years.

RESULTS

Despite considerable maturation, the ADHD group remained impaired on all cold EF tests relative to TD children after 2 years. There was no effect of gender on cold EF test results. Females with ADHD outperformed TD counterparts on hot EF at baseline. Females with ADHD showed deteriorating hot EF performance, while TD counterparts showed improved hot EF performance across time.

CONCLUSION

Enduring cold EF impairments after 2 years may reflect stable phenotypic traits in children with ADHD. Results indicate divergent developmental trajectories of hot EF in girls with ADHD relative to TD counterparts.

摘要

目的

探讨注意缺陷多动障碍(ADHD)男孩和女孩相对于正常发育(TD)儿童,具有明显情绪显著性(热执行功能)和不太明显情绪显著性(冷执行功能)的执行功能发展情况。

方法

75名ADHD儿童和47名TD儿童在基线时以及2年后接受热执行功能和冷执行功能测试。

结果

尽管有显著的成熟变化,但2年后,ADHD组在所有冷执行功能测试中相对于TD儿童仍存在损害。性别对冷执行功能测试结果没有影响。患有ADHD的女性在基线时热执行功能方面优于TD儿童。患有ADHD的女性热执行功能表现恶化,而TD儿童的热执行功能表现随时间有所改善。

结论

2年后持续存在的冷执行功能损害可能反映了ADHD儿童稳定的表型特征。结果表明,患有ADHD的女孩与TD儿童相比,热执行功能的发展轨迹不同。

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