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智力残疾青少年和青年的执行功能与注意力过程

Executive Functions and Attention Processes in Adolescents and Young Adults with Intellectual Disability.

作者信息

Zagaria Tommasa, Antonucci Gabriella, Buono Serafino, Recupero Marilena, Zoccolotti Pierluigi

机构信息

Oasi Research Institute-IRCCS, 94018 Troina, Italy.

Department of Psychology, Sapienza University of Rome, 00185 Rome, Italy.

出版信息

Brain Sci. 2021 Jan 3;11(1):42. doi: 10.3390/brainsci11010042.

Abstract

(1) Background: We made a comprehensive evaluation of executive functions (EFs) and attention processes in a group of adolescents and young adults with mild intellectual disability (ID). (2) Methods: 27 adolescents and young adults (14 females and 13 males) with ID, aged between 15.1 and 23 years (M = 17.4; SD = 2.04), were compared to a control group free of cognitive problems and individually matched for gender and age. (3) Results: As for EFs, individuals with ID were severely impaired on all subtests of the Behavioral Assessment of Dysexecutive Syndrome (BADS) battery. However, we also found appreciable individual differences, with eight individuals (approximately 30%) scoring within normal limits. On the attention tests, individuals with ID were not generally slower but presented specific deficits only on some attention tests (i.e., Choice Reaction Times, Color Naming and Color-Word Interference, and Shifting of Attention for Verbal and for Visual Targets).The role of a global factor (i.e., cognitive speed) was modest in contributing to the group differences; i.e., when present, group differences were selectively associated with specific task manipulations, not global differences in cognitive speed. (4) Conclusions: The study confirmed large group differences in EFs; deficits in attentional processing were more specific and occurred primarily in tasks taxing the selective dimension of attention, with performance on intensive tasks almost entirely spared.

摘要

(1) 背景:我们对一组轻度智力障碍(ID)的青少年和青年的执行功能(EFs)和注意力过程进行了全面评估。(2) 方法:将27名年龄在15.1至23岁之间(平均年龄M = 17.4;标准差SD = 2.04)的ID青少年和青年(14名女性和13名男性)与一组无认知问题且在性别和年龄上进行个体匹配的对照组进行比较。(3) 结果:在执行功能方面,ID个体在执行功能障碍综合征行为评估(BADS)量表的所有子测试中均严重受损。然而,我们也发现了明显的个体差异,有8名个体(约30%)得分在正常范围内。在注意力测试中,ID个体总体上并不更慢,但仅在某些注意力测试(即选择反应时、颜色命名和颜色-单词干扰以及言语和视觉目标的注意力转移)中表现出特定缺陷。一个全局因素(即认知速度)对组间差异的影响较小;也就是说,当存在组间差异时,这些差异与特定的任务操作选择性相关,而非认知速度的全局差异。(4) 结论:该研究证实了执行功能方面存在较大的组间差异;注意力加工缺陷更具特异性,主要出现在对注意力选择性维度有较高要求的任务中,而在高强度任务中的表现几乎未受影响。

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