Li Gaizhi, Jiang Wenqing, Du Yasong, Rossbach Kathryn
Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
Department of Child & Adolescent Psychiatry, Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, Shanghai, People's Republic of China.
Neuropsychiatr Dis Treat. 2017 Jun 15;13:1541-1549. doi: 10.2147/NDT.S136477. eCollection 2017.
This study aimed to explore the intelligence profiles of Chinese school-aged boys with high-functioning autism spectrum disorder (HFASD) and attention-deficit/hyperactivity disorder (ADHD). Additionally, differences in intelligence quotient (IQ) between the HFASD group and the ADHD group were examined.
Thirty-two boys with HFASD, 58 boys with ADHD, and 39 typically developing (TD) boys aged 6-16 years participated in this study. The ADHD group was divided into subgroups: ADHD-I (predominantly inattentive) and ADHD-C (combined type). (The ADHD-H [hyperactive] group was excluded because of small sample size). The Wechsler Intelligence Scale for Children-IV Chinese version was administered to every participant, and the FSIQ (Full-Scale IQ) score was used as the measure of IQ.
Both boys with HFASD and ADHD (ADHD-I and ADHD-C) showed impairments in Processing Speed Index and FSIQ, as compared to the TD group. Lower Verbal Comprehension Index scores were found in the ASD and ADHD-I groups. Interestingly, Working Memory Index was only impaired in children with ADHD. Additionally, equivalent Perceptual Reasoning Index (PRI) scores were found among the HFASD, ADHD, and TD groups.
Results indicated that both children with ADHD and HFASD have difficulty in processing speed, which may be explained by these children having neurodevelopmental disorders. These results also indicated that working memory appears to only be impacted by having ADHD. Children with ASD are known to have language difficulties while children with ADHD typically display working memory deficits; thus, these findings were expected.
本研究旨在探索患有高功能自闭症谱系障碍(HFASD)和注意力缺陷多动障碍(ADHD)的中国学龄男孩的智力特征。此外,还考察了HFASD组和ADHD组之间的智商(IQ)差异。
32名患有HFASD的男孩、58名患有ADHD的男孩以及39名6至16岁发育正常(TD)的男孩参与了本研究。ADHD组被分为亚组:ADHD-I(主要为注意力不集中型)和ADHD-C(混合型)。(由于样本量小,ADHD-H[多动型]组被排除)。对每位参与者施测韦氏儿童智力量表第四版中文版,并将全量表智商(FSIQ)得分用作IQ的衡量指标。
与TD组相比,患有HFASD和ADHD(ADHD-I和ADHD-C)的男孩在加工速度指数和FSIQ方面均表现出损伤。在ASD组和ADHD-I组中发现言语理解指数得分较低。有趣的是,工作记忆指数仅在患有ADHD的儿童中受损。此外,在HFASD组、ADHD组和TD组中发现了相当的知觉推理指数(PRI)得分。
结果表明,患有ADHD和HFASD的儿童在加工速度方面均存在困难,这可能是因为这些儿童患有神经发育障碍。这些结果还表明,工作记忆似乎仅受ADHD的影响。已知患有ASD的儿童有语言困难,而患有ADHD的儿童通常表现出工作记忆缺陷;因此,这些发现是在意料之中的。