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注意缺陷多动障碍儿童脑源性神经营养因子水平与Stroop干扰效应之间关系的评估

Evaluation of the Relationship between Brain-Derived Neurotropic Factor Levels and the Stroop Interference Effect in Children with Attention-Deficit Hyperactivity Disorder.

作者信息

Şimşek Şeref, Gençoğlan Salih, Yüksel Tuğba, Kaplan İbrahim, Aktaş Hüseyin, Alaca Rümeysa

机构信息

Department of Child Psychiatry, Dicle University School of Medicine, Diyarbakır, Turkey.

Department of Child Psychiatry, Yüzüncü Yıl University School of Medicine, Van, Turkey.

出版信息

Noro Psikiyatr Ars. 2016 Dec;53(4):348-352. doi: 10.5152/npa.2016.10234. Epub 2016 Dec 1.

Abstract

INTRODUCTION

Brain-derived neurotropic factor (BDNF) has been suggested to play a role in the pathogenesis of attention-deficit hyperactivity disorder (ADHD). In addition, impairment in executive functions has been reported in children with ADHD. This study investigated the presence of a relationship between Stroop test scores and BDNF levels in children with ADHD.

METHODS

The study was conducted in the Department of Child Psychiatry at Dicle University. The study included 49 children between 6 and 15 years of age (M/F: 42/7), who were diagnosed with ADHD according to DSM-IV, and who did not receive previous therapy. Similar in terms of age and gender to the ADHD group, 40 children were selected in the control group. The Kiddie Schedule for Affective Disorders and Schizophrenia, Present and Lifetime version was administered to all participants. Parents and teachers were administered Turgay DSM-IV-based Child and Adolescent Behavior Disorders Screening and Rating Scale to measure symptom severity in children with ADHD. Children with ADHD underwent the Stroop test. BDNF levels were evaluated in serum by ELISA.

RESULTS

The ADHD and control groups did not differ in terms of BDNF levels. BDNF levels did not differ between ADHD subtypes. There was also no relationship between the Stroop test interference scores and BDNF levels.

CONCLUSION

The findings of the present study are in line with those in studies that demonstrated no significant role of BDNF in the pathogenesis of ADHD.

摘要

引言

脑源性神经营养因子(BDNF)被认为在注意力缺陷多动障碍(ADHD)的发病机制中起作用。此外,有报道称ADHD患儿存在执行功能受损。本研究调查了ADHD患儿的斯特鲁普测试分数与BDNF水平之间是否存在关联。

方法

本研究在迪克莱大学儿童精神病学系进行。研究纳入了49名6至15岁的儿童(男/女:42/7),这些儿童根据《精神疾病诊断与统计手册》第四版(DSM-IV)被诊断为ADHD,且未接受过先前的治疗。在年龄和性别方面与ADHD组相似,对照组选取了40名儿童。对所有参与者进行了《情感障碍和精神分裂症儿童用评定量表》(目前和终生版)。对家长和教师进行了基于图尔盖DSM-IV的儿童和青少年行为障碍筛查及评定量表,以测量ADHD患儿的症状严重程度。ADHD患儿接受了斯特鲁普测试。通过酶联免疫吸附测定法(ELISA)评估血清中的BDNF水平。

结果

ADHD组和对照组的BDNF水平没有差异。ADHD各亚型之间的BDNF水平也没有差异。斯特鲁普测试干扰分数与BDNF水平之间也没有关联。

结论

本研究结果与那些表明BDNF在ADHD发病机制中无显著作用的研究结果一致。

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