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工作记忆对注意力缺陷/多动障碍中注意力不集中与攻击行为关系的调节作用。

The Moderating Effect of Working Memory on the Relationship between Inattention and Aggressive Behavior in Attention-Deficit/Hyperactivity Disorder.

作者信息

Jeong Mi Young, Lee Yeon Jung, Kim Jung Ho, Park Seo Young

机构信息

Michuhol-gu Community Mental Health Welfare Center, Incheon, Korea.

Department of Psychiatry, Seoul Hospital, College of Medicine, Soonchunhyang University, Seoul, Korea.

出版信息

Soa Chongsonyon Chongsin Uihak. 2020 Oct 1;31(4):207-213. doi: 10.5765/jkacap.200023.

DOI:10.5765/jkacap.200023
PMID:33110358
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7584283/
Abstract

OBJECTIVES

Although aggressive behavior in children and adolescents with attention-deficit/hyperactivity disorder (ADHD) has previously shown correlations with hyperactivity/impulsivity, few studies have examined its association with inattention or the effect of working memory on aggressive behavior. This study aimed to assess the relationship between inattention and aggressive behavior and the effect of working memory on the relationship between inattention and aggressive behavior in children and adolescents with ADHD.

METHODS

Thirty-one children and 26 adolescents with ADHD were retrospectively investigated. The subjects completed the Korean Wechsler Intelligence Scale for Children-Fourth Edition (KWISC-IV), the Korean Child Behavior Checklist (K-CBCL), and the Korean Children's Depression Inventory (CDI).

RESULTS

Inattention was positively correlated with aggressive behavior in children and adolescents with ADHD and working memory showed an insignificant correlation. However, working memory had a significant moderating effect on aggressive behavior by interacting with inattention. The moderating effect of working memory manifested when the working memory index score on the K-WISC-IV was 73.5 points or higher, and it had a significant effect on aggressive behavior.

CONCLUSION

This study shows that the severity of inattention and hyperactivity/impulsivity should be addressed to provide appropriate treatment to children and adolescents with ADHD who exhibit aggressive behavior.

摘要

目的

虽然先前研究表明，注意缺陷多动障碍（ADHD）患儿和青少年的攻击行为与多动/冲动有关，但很少有研究探讨其与注意力不集中的关联，或工作记忆对攻击行为的影响。本研究旨在评估ADHD患儿和青少年注意力不集中与攻击行为之间的关系，以及工作记忆对注意力不集中与攻击行为关系的影响。

方法

对31名患有ADHD的儿童和26名患有ADHD的青少年进行回顾性调查。受试者完成了韩国韦氏儿童智力量表第四版（KWISC-IV）、韩国儿童行为清单（K-CBCL）和韩国儿童抑郁量表（CDI）。

结果

ADHD患儿和青少年的注意力不集中与攻击行为呈正相关，工作记忆与之呈不显著相关。然而，工作记忆通过与注意力不集中相互作用，对攻击行为有显著的调节作用。当KWISC-IV上的工作记忆指数得分达到73.5分或更高时，工作记忆的调节作用就会显现，且对攻击行为有显著影响。

结论

本研究表明，对于表现出攻击行为的ADHD患儿和青少年，应针对注意力不集中和多动/冲动的严重程度进行适当治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69da/7584283/6425875b2eb1/JKACAP-31-207-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69da/7584283/6425875b2eb1/JKACAP-31-207-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69da/7584283/6425875b2eb1/JKACAP-31-207-f1.jpg

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Working memory brain activity and capacity link MAOA polymorphism to aggressive behavior during development.工作记忆脑活动和能力将 MAOA 多态性与发育过程中的攻击行为联系起来。
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Inattentive behaviour is associated with poor working memory and slow processing speed in very pre-term children in middle childhood.在儿童中期，注意力不集中的行为与非常早产儿的工作记忆差和处理速度慢有关。
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