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ADHD 症状与同伴问题:执行功能和心理理论的中介作用。

ADHD Symptoms and peer problems: Mediation of executive function and theory of mind.

机构信息

Universidad de Valencia.

出版信息

Psicothema. 2017 Nov;29(4):514-519. doi: 10.7334/psicothema2016.376.

DOI:10.7334/psicothema2016.376
PMID:29048312
Abstract

BACKGROUND

The social maladjustment suffered by many children with attention deficit hyperactivity disorder (ADHD) is maintained over time, increasing the risk of subsequent adverse outcomes. The objectives of the study were to explore the mechanisms that operate between ADHD symptoms and social problems with peers, considering the mediation of FE and ToM.

METHOD

35 children with ADHD and 37 with typical development matched in age and IQ were compared. Parents assessed ToM skills and relationships with peers, and teachers provided EF ratings.

RESULTS

The analyses showed statistically significant indirect mediation effects of EF in the relationship between ADHD symptoms and problems in relationships with peers, whereas ToM did not show these effects.

CONCLUSIONS

EF impairments contribute to the social difficulties of children with ADHD.

摘要

背景

许多患有注意缺陷多动障碍(ADHD)的儿童长期遭受社会适应不良,增加了随后出现不良后果的风险。本研究的目的是探讨 ADHD 症状与同伴社交问题之间的作用机制,同时考虑执行功能(EF)和心理理论(ToM)的中介作用。

方法

将 35 名 ADHD 儿童和 37 名年龄和智商匹配的典型发育儿童进行比较。家长评估了 ToM 技能和与同伴的关系,教师则提供了 EF 评级。

结果

分析显示,EF 在 ADHD 症状与同伴关系问题之间的关系中存在统计学上显著的间接中介效应,而 ToM 则没有表现出这些效应。

结论

执行功能障碍导致 ADHD 儿童的社交困难。

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