年幼的儿童中，认知速度迟缓能与注意力缺陷多动障碍的注意力不集中区分开来吗？来自韩国学龄前儿童样本的证据。
Can Sluggish Cognitive Tempo Be Distinguished From ADHD Inattention in Very Young Children? Evidence From a Sample of Korean Preschool Children.
作者信息
Lee SoYean, Burns G Leonard, Becker Stephen P
机构信息
1 Sookmyung Women's University, Seoul, South Korea.
2 Washington State University, Pullman, WA, USA.
出版信息
J Atten Disord. 2017 Jun;21(8):623-631. doi: 10.1177/1087054716680077. Epub 2016 Nov 25.
Abstract
OBJECTIVE
This study evaluated whether sluggish cognitive tempo (SCT) is separable from ADHD-inattention (IN) and uniquely associated with internalizing dimensions in preschool children in South Korea.
METHOD
Mothers of 172 preschool children (ages 4-6 years; 52% girls) rated children's SCT, ADHD-IN, ADHD-hyperactivity/impulsivity (HI), oppositional defiant disorder (ODD), aggression, emotional reactivity, anxiety/depression, somatic complaints, withdrawal, and sleep problems.
RESULTS
Eight of 10 SCT symptoms showed convergent and discriminant validity with ADHD-IN. ADHD-IN remained significantly positively associated with ADHD-HI, ODD, and aggressive behavior after controlling for SCT, whereas SCT was no longer positively associated with these externalizing behaviors after controlling for ADHD-IN. Both SCT and ADHD-IN were uniquely associated with greater emotionally reactivity, anxiety/depression, and withdrawal. Only SCT was uniquely associated with somatic complaints, and only ADHD-IN was uniquely associated with sleep problems.
CONCLUSION
Findings replicate results with children and adolescents, thus expanding evidence for the validity of SCT in early development.
摘要
目的
本研究评估了迟缓认知节奏（SCT）是否可与注意力缺陷多动障碍的注意力不集中型（ADHD-IN）相区分，以及是否与韩国学龄前儿童的内化维度存在独特关联。
方法
172名学龄前儿童（4至6岁；52%为女孩）的母亲对孩子的SCT、ADHD-IN、ADHD多动/冲动型（HI）、对立违抗障碍（ODD）、攻击行为、情绪反应性、焦虑/抑郁、躯体不适、退缩行为和睡眠问题进行了评分。
结果
10项SCT症状中的8项与ADHD-IN具有聚合效度和区分效度。在控制SCT后，ADHD-IN仍与ADHD-HI、ODD和攻击行为显著正相关，而在控制ADHD-IN后，SCT与这些外化行为不再呈正相关。SCT和ADHD-IN均与更高的情绪反应性、焦虑/抑郁和退缩行为存在独特关联。只有SCT与躯体不适存在独特关联，只有ADHD-IN与睡眠问题存在独特关联。
结论
研究结果重复了在儿童和青少年中的研究结果，从而扩展了SCT在早期发育中有效性的证据。
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