Denis Isabelle, Guay Marie-Claude, Foldes-Busque Guillaume, BenAmor Leila
Department of Psychology, University of Quebec in Montreal, Montreal, QC, Canada.
Research Center, Lévis University-Affiliated Hospital, CSSS Alphonse-Desjardins, 143 Wolfe Street, Lévis, QC, G6V 3Z1, Canada.
Child Psychiatry Hum Dev. 2016 Jun;47(3):518-26. doi: 10.1007/s10578-015-0584-5.
Twenty-five percent of children with ADHD also have an anxiety disorder (AD). As per Quay and in light of Barkley's model, anxiety may have a protective effect on cognitive deficits and behaviors associated with ADHD. This study aimed to evaluate the effect of treating AD on cognitive deficits and behaviors associated with ADHD in children with both disorders. Twenty-four children with ADHD and AD were divided into two groups: treatment for AD, and wait list. Participants were assessed at pre-treatment, post-treatment, and 6-month follow-up with the ADIS-C, the CBCL, and neuropsychological measures. The results revealed a significant improvement in automatic response inhibition and flexibility, and a decrease in inattention/hyperactivity behaviors following the treatment for AD. No significant differences were observed in motor response inhibition, working memory, or attention deficits. The results do not seem to support Quay's hypothesis: treating AD did not exacerbate cognitive deficits and behaviors associated with ADHD in our sample.
25%的注意力缺陷多动障碍（ADHD）儿童同时患有焦虑症（AD）。根据奎伊的观点并参照巴克利的模型，焦虑可能对与ADHD相关的认知缺陷和行为具有保护作用。本研究旨在评估治疗AD对同时患有这两种疾病的儿童的认知缺陷和与ADHD相关行为的影响。24名患有ADHD和AD的儿童被分为两组：AD治疗组和等待名单组。在治疗前、治疗后以及6个月随访时，使用儿童焦虑障碍检查量表（ADIS-C）、儿童行为量表（CBCL）和神经心理学测量方法对参与者进行评估。结果显示，在对AD进行治疗后，自动反应抑制和灵活性有显著改善，注意力不集中/多动行为减少。在运动反应抑制、工作记忆或注意力缺陷方面未观察到显著差异。研究结果似乎并不支持奎伊的假设：在我们的样本中，治疗AD并未加剧与ADHD相关的认知缺陷和行为。
