Krieger Virginia, Amador-Campos Juan Antonio
a Department of Clinical Psychology and Psychobiology, Faculty of Psychology , University of Barcelona , Barcelona , Spain.
b Institute of Neuroscience , University of Barcelona (UBneuro) , Barcelona , Spain.
Child Neuropsychol. 2018 Nov;24(8):1063-1087. doi: 10.1080/09297049.2017.1386781. Epub 2017 Oct 18.
This study aimed to analyze performance on measures of neuropsychological and behavioral executive functions (EF) in adolescents with attention deficit hyperactivity disorder (ADHD), and to evaluate the utility of performance-based tests for predicting scores on behavioral EF ratings. One hundred eighteen adolescents (75 ADHD and 43 controls) aged 12-16 years performed neuropsychological tests and completed a behavior rating scale of EF. The ADHD group presented significantly lower scores than controls on Full Scale IQ (FSIQ) and all indexes of the WISC-IV, except the verbal comprehension index (VCI). The ADHD group had significantly lower scores on performance-based tests of working memory, planning and inhibition, and on EF rating scales. Scores on the cognitive EF working memory, planning and flexibility modestly predicted performance on behavioral EF. The results suggest that the combined use of performance-based tests and rating scales provides valuable complementary information that can improve the assessment of executive domains in ADHD.
本研究旨在分析注意力缺陷多动障碍(ADHD)青少年的神经心理学和行为执行功能(EF)测量指标表现,并评估基于表现的测试对预测行为EF评分的效用。118名年龄在12至16岁的青少年(75名ADHD患者和43名对照)进行了神经心理学测试,并完成了EF行为评定量表。ADHD组在全量表智商(FSIQ)以及韦氏儿童智力量表第四版(WISC-IV)的所有指标上得分均显著低于对照组,但言语理解指数(VCI)除外。ADHD组在基于表现的工作记忆、计划和抑制测试以及EF评定量表上得分显著更低。认知EF工作记忆、计划和灵活性方面的得分适度预测了行为EF的表现。结果表明,基于表现的测试和评定量表的联合使用提供了有价值的补充信息,可改善对ADHD执行领域的评估。