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在一个儿童社区样本中评估临床工作记忆评估与注意力不集中及多动/冲动行为之间的关系。

Evaluating relationships among clinical working memory assessment and inattentive and hyperactive/impulsive behaviors in a community sample of children.

作者信息

Colbert Alison M, Bo Jin

机构信息

Department of Rehabilitation, Children's Hospital Colorado, 13123 E 16th Ave, Aurora, CO 80045, United States.

Department of Psychology, Eastern Michigan University, 341 MJ Science Building, Ypsilanti, MI 48197, United States.

出版信息

Res Dev Disabil. 2017 Jul;66:34-43. doi: 10.1016/j.ridd.2017.04.010. Epub 2017 Jun 2.

Abstract

OBJECTIVE

This study examined relationships between inattentive and hyperactive/impulsive behaviors and working memory (WM) functioning, and the utility of WM in categorical diagnosis of ADHD versus considering ADHD symptoms on a continuum.

METHOD

The study included 50 male children (6-12 years). Inattentive and hyperactive/impulsive behaviors were measured by the Conners-3P parent report, and WM was assessed by the WISC-IV WM subtests and Working Memory Index (WMI).

RESULTS

WISC-IV Arithmetic and Digit Span Backward were most consistently related to inattentive behaviors, and no WM measure was consistently related to ADHD hyperactive/impulsive behaviors. Arithmetic and Digit Span Backward also accounted for significant variance in inattentive behaviors and ADHD inattention symptoms, respectively. Neither the WMI nor the Arithmetic subtest correctly classified individuals diagnosed with ADHD.

CONCLUSION

Measurement of inattentive behaviors on a continuum best characterized relationships between symptoms of ADHD and WM functioning; WM functioning did not have utility in categorical understanding of ADHD.

摘要

目的

本研究考察了注意力不集中和多动/冲动行为与工作记忆(WM)功能之间的关系,以及WM在ADHD分类诊断中的效用,同时也探讨了将ADHD症状视为连续体的情况。

方法

该研究纳入了50名男性儿童(6至12岁)。注意力不集中和多动/冲动行为通过康纳斯3父母问卷进行测量,WM通过韦氏儿童智力量表第四版(WISC-IV)的WM分测验和工作记忆指数(WMI)进行评估。

结果

WISC-IV的算术和数字广度倒序测验与注意力不集中行为的相关性最为一致,且没有WM测量指标与ADHD多动/冲动行为始终相关。算术和数字广度倒序测验分别也在注意力不集中行为和ADHD注意力不集中症状方面解释了显著的方差。WMI和算术分测验均未正确分类被诊断为ADHD的个体。

结论

将注意力不集中行为视为连续体进行测量,最能体现ADHD症状与WM功能之间的关系;WM功能在ADHD的分类理解中没有效用。

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