注意缺陷多动障碍(ADHD)亚型中的状态焦虑、特质焦虑与选择性注意差异
State, trait anxiety and selective attention differences in Attention Deficit Hyperactivity Disorder (ADHD) subtypes.
作者信息
González-Castro Paloma, Rodríguez Celestino, Cueli Marisol, García Trinidad, Alvarez-García David
机构信息
Universidad de Oviedo, Spain.
出版信息
Int J Clin Health Psychol. 2015 May-Aug;15(2):105-112. doi: 10.1016/j.ijchp.2014.10.003. Epub 2014 Nov 18.
One of the disorders that most affects school performance is Attention Deficit Hyperactivity Disorder (ADHD). The criteria established by DSM distinguish three subtypes: inattentive, hyperactive-impulsive and combined. However, the expression of this disorder can be altered by its association with other disorders such as anxiety. The main goals of this study were to determine whether different patterns of attention (selective and concentration) and anxiety (state and trait anxiety) emerge from ADHD subtypes, and analyze how anxiety predicts the performance of students with ADHD in a selective attention task. The sample was made up of 220 children (6-12 years) divided into four groups: control group ( = 56), inattentive subtype ( = 54), hyperactive-impulsive subtype ( = 53), and combined subtype ( = 57). The results indicated that the groups differed significantly in the attention variables, and in state and trait anxiety. Multiple group comparisons revealed that the combined subtype exhibited higher trait anxiety, whereas the inattentive subtype showed more state anxiety. Additionally, trait anxiety predicted the students' performance in the concentration variable of the attention task. These results suggest a novel path of significant interest concerning objective and reliable diagnostic assessment of ADHD.
对学业表现影响最大的疾病之一是注意力缺陷多动障碍(ADHD)。《精神疾病诊断与统计手册》(DSM)制定的标准区分了三种亚型:注意力不集中型、多动冲动型和混合型。然而,这种疾病的表现可能会因其与其他疾病(如焦虑症)的关联而改变。本研究的主要目的是确定ADHD各亚型是否会出现不同的注意力模式(选择性注意力和注意力集中)和焦虑模式(状态焦虑和特质焦虑),并分析焦虑如何预测ADHD学生在选择性注意力任务中的表现。样本由220名儿童(6至12岁)组成,分为四组:对照组(n = 56)、注意力不集中型(n = 54)、多动冲动型(n = 53)和混合型(n = 57)。结果表明,各组在注意力变量、状态焦虑和特质焦虑方面存在显著差异。多组比较显示,混合型表现出更高的特质焦虑,而注意力不集中型表现出更多的状态焦虑。此外,特质焦虑预测了学生在注意力任务的注意力集中变量中的表现。这些结果为ADHD的客观可靠诊断评估提供了一条极具意义的新途径。