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注意缺陷多动障碍中的注意力与反应控制。通过整合视觉与听觉持续性操作测试进行评估。

Attention and response control in ADHD. Evaluation through integrated visual and auditory continuous performance test.

作者信息

Moreno-García Inmaculada, Delgado-Pardo Gracia, Roldán-Blasco Carmen

机构信息

Universidad de Sevilla (Spain).

出版信息

Span J Psychol. 2015 Mar 3;18:E1. doi: 10.1017/sjp.2015.2.

Abstract

This study assesses attention and response control through visual and auditory stimuli in a primary care pediatric sample. The sample consisted of 191 participants aged between 7 and 13 years old. It was divided into 2 groups: (a) 90 children with ADHD, according to diagnostic (DSM-IV-TR) (APA, 2002) and clinical (ADHD Rating Scale-IV) (DuPaul, Power, Anastopoulos, & Reid, 1998) criteria, and (b) 101 children without a history of ADHD. The aims were: (a) to determine and compare the performance of both groups in attention and response control, (b) to identify attention and response control deficits in the ADHD group. Assessments were carried out using the Integrated Visual and Auditory Continuous Performance Test (IVA/CPT, Sandford & Turner, 2002). Results showed that the ADHD group had visual and auditory attention deficits, F(3, 170) = 14.38; p < .01, deficits in fine motor regulation (Welch´s t-test = 44.768; p < .001) and sensory/motor activity (Welch'st-test = 95.683, p < .001; Welch's t-test = 79.537, p < .001). Both groups exhibited a similar performance in response control, F(3, 170) = .93, p = .43.Children with ADHD showed inattention, mental processing speed deficits, and loss of concentration with visual stimuli. Both groups yielded a better performance in attention with auditory stimuli.

摘要

本研究通过视觉和听觉刺激,对基层医疗儿科样本的注意力和反应控制能力进行评估。样本包括191名年龄在7至13岁之间的参与者。研究对象被分为两组:(a)根据诊断标准(《精神疾病诊断与统计手册》第四版,修订版)(美国精神病学会,2002年)和临床标准(《注意力缺陷多动障碍评定量表》第四版)(杜保罗、鲍尔、阿纳斯托普洛斯和里德,1998年),90名患有注意力缺陷多动障碍(ADHD)的儿童;(b)101名无ADHD病史的儿童。研究目的为:(a)确定并比较两组在注意力和反应控制方面的表现;(b)识别ADHD组的注意力和反应控制缺陷。评估采用综合视觉和听觉持续性操作测验(IVA/CPT,桑福德和特纳,2002年)。结果显示,ADHD组存在视觉和听觉注意力缺陷,F(3, 170) = 14.38;p <.01,精细运动调节存在缺陷(韦尔奇t检验 = 44.768;p <.001)以及感觉/运动活动存在缺陷(韦尔奇t检验 = 95.683,p <.001;韦尔奇t检验 = 79.537,p <.001)。两组在反应控制方面表现相似,F(3, 170) =.93,p =.43。患有ADHD的儿童表现出注意力不集中、心理加工速度缺陷以及对视觉刺激的注意力丧失。两组在对听觉刺激的注意力方面表现更佳。

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