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发育性协调障碍儿童执行功能的横断面研究。

Cross-sectional study of executive functioning in children with developmental coordination disorders.

作者信息

Zhu Sheng, Tang Guangzheng, Shi Jianfei

机构信息

The Fifth People's Hospital of Ruian, Wenzhou, China.

The Seventh People's Hospital of Hangzhou, Hangzhou, China.

出版信息

Shanghai Arch Psychiatry. 2012 Aug;24(4):217-21. doi: 10.3969/j.issn.1002-0829.2012.04.002.

Abstract

BACKGROUND

Children with Developmental Coordination Disorder (DCD) have multiple impairments in movement, in learning, and in the activities of daily living. Studies from other countries have associated these impairments with cognitive function, particularly executive functioning, but these findings have not been confirmed in China.

AIM

Compare the executive functioning of children with DCD with that of normal children.

METHODS

The Wisconsin Card Sorting Test (WCST) was administered to 39 children who met DSM-IV criteria of DCD identified at the Seventh People's Hospital of Hangzhou from March 2008 through March 2010. The WCST was also administered to a control group of 39 randomly selected children from one elementary school in Hangzhou.

RESULTS

The total responses on the WCST and the number of non-perseverative errors for cases and controls were similar, but cases had significantly more errors, more perseverative responses and more perseverative errors; moreover, they completed fewer categories than controls and required more trials to complete the first category.

CONCLUSION

Our study confirms previous studies which show significantly impaired executive functioning in patients with DCD. Collectively, these studies suggest that the deficits in executive functioning of children with DCD significantly impair their intellectual and social development.

摘要

背景

发育性协调障碍(DCD)儿童在运动、学习及日常生活活动方面存在多种功能障碍。其他国家的研究已将这些功能障碍与认知功能,尤其是执行功能联系起来,但这些研究结果在中国尚未得到证实。

目的

比较DCD儿童与正常儿童的执行功能。

方法

对2008年3月至2010年3月期间在杭州市第七人民医院确诊符合DSM-IV标准的39名DCD儿童进行威斯康星卡片分类测验(WCST)。同时,对从杭州市一所小学随机选取的39名儿童组成的对照组进行WCST。

结果

病例组和对照组在WCST上的总反应数及非持续性错误数相近,但病例组的错误更多,持续性反应和持续性错误更多;此外,病例组完成的分类比对照组少,完成第一个分类所需的试验次数更多。

结论

我们的研究证实了先前的研究结果,即DCD患者的执行功能存在显著受损。总体而言,这些研究表明,DCD儿童执行功能的缺陷严重损害了他们的智力和社交发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9980/4198857/7b550bd1b9a6/sap-24-04-217-g001.jpg

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