Department of Human Neuroscience, Section of Child and Adolescent Neuropsychiatry, Sapienza University of Rome, Italy.
Department of Dynamic and Clinical Psychology, Sapienza University of Rome, Italy.
Scand J Psychol. 2019 Oct;60(5):440-446. doi: 10.1111/sjop.12562. Epub 2019 Jun 26.
Several studies have shown neuropsychological deficits across multiple domains in attention deficit hyperactivity disorder (ADHD) and specific learning disorder (SLD), but differences and similarities between these disorders have been little considered. We were interested in analyzing the intellectual and executive profiles in a sample of children and adolescents, divided according to the diagnosis into the ADHD group and the SLD group, and in identifying the differences and similarities between these disorders. The sample included two clinical groups: the first included 36 children and adolescents with a diagnosis of ADHD (5-15 years; mean = 9.42; SD = 2.22) while the second included 36 children and adolescents with a diagnosis of SLD (7-15 years; mean = 9.43; SD = 2.25). The WISC-IV was used to measure intellectual ability and the NEPSY-II was employed to measure executive functions. The results showed that the SLD group had significantly higher scores than the ADHD group on the NEPSY-II in the inhibition, cognitive flexibility, short-term verbal memory and verbal working memory domains. The ANCOVA showed differences regarding the FSIQ of WISC-IV, in that the SLD group obtaining higher scores than ADHD group. Findings showed that ADHD children are more impaired than SLD children, in particular in cognitive inhibition, cognitive flexibility, verbal memory, working memory and intellectual functioning. The recognition of the strengths and weaknesses of children and adolescents with ADHD and SLD allows to outline an educational and clinical intervention focused on their specific executive and intellectual functioning.
几项研究表明,在注意力缺陷多动障碍(ADHD)和特定学习障碍(SLD)中,多个领域都存在神经认知缺陷,但这些障碍之间的差异和相似之处尚未得到充分考虑。我们有兴趣分析根据诊断分为 ADHD 组和 SLD 组的儿童和青少年样本的智力和执行功能特征,并确定这些障碍之间的差异和相似之处。该样本包括两个临床组:第一组包括 36 名患有 ADHD 的儿童和青少年(5-15 岁;平均=9.42;SD=2.22),第二组包括 36 名患有 SLD 的儿童和青少年(7-15 岁;平均=9.43;SD=2.25)。WISC-IV 用于测量智力能力,NEPSY-II 用于测量执行功能。结果表明,SLD 组在抑制、认知灵活性、短期言语记忆和言语工作记忆领域的 NEPSY-II 得分明显高于 ADHD 组。ANCOVA 显示 WISC-IV 的 FSIQ 存在差异,即 SLD 组的得分高于 ADHD 组。研究结果表明,ADHD 儿童比 SLD 儿童受损更严重,特别是在认知抑制、认知灵活性、言语记忆、工作记忆和智力功能方面。认识到 ADHD 和 SLD 儿童的优势和劣势,可以制定出针对他们特定的执行和智力功能的教育和临床干预措施。