Yu Zhen-Zhu, Yang Bin-Rang, Zhang Shan-Hong, Wang Peng
Shenzhen Children's Hospital, Shenzhen, Guangdong 518038, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2021 Feb;23(2):148-152. doi: 10.7499/j.issn.1008-8830.2009095.
To study the intellectual characteristics of children with attention deficit hyperactivity disorder (ADHD) and developmental dyslexia (DD).
A total of 55 children with ADHD and DD (ADHD+DD group), 150 children with ADHD alone (ADHD group), and 22 children with DD alone (DD group) were enrolled as subjects. Wechsler Intelligence Scale for Children-Fourth Edition (WISC-IV) was used to evaluate and compare intellectual characteristics among the three groups.
There were significant differences in the scores of full-scale intelligence quotient (FSIQ), verbal comprehension index, perceptual reasoning index, and working memory index among the three groups ( < 0.05):the ADHD+DD group had significantly lower scores of FSIQ, verbal comprehension index, perceptual reasoning index, and working memory index than the ADHD group, as well as a significantly lower FSIQ score than the DD group. A comparison of the 10 core subtests in WISC-IV showed that compared with the ADHD group, the ADHD+DD group had significantly lower scores of similarities, vocabulary, comprehension, recitation, picture concepts, matrix reasoning, and letter-number sequencing ( < 0.05). Compared with the DD group, the ADHD+DD group had significantly lower scores of vocabulary, similarities, picture concepts, matrix reasoning, and recitation ( < 0.05).
Compared with the children with ADHD alone, the children with ADHD and DD have more severe impairment of FSIQ, verbal comprehension, perceptual reasoning, and working memory, and therefore, it is suggested to enhance the training on similarities, vocabulary, matrix reasoning, picture concepts, and recitation for children with ADHD and DD in clinical practice.
研究注意缺陷多动障碍(ADHD)合并发育性阅读障碍(DD)儿童的智力特点。
选取55例ADHD合并DD儿童(ADHD+DD组)、150例单纯ADHD儿童(ADHD组)和22例单纯DD儿童(DD组)作为研究对象。采用韦氏儿童智力量表第四版(WISC-IV)对三组儿童的智力特点进行评估和比较。
三组儿童的全量表智商(FSIQ)、言语理解指数、知觉推理指数和工作记忆指数得分差异有统计学意义(<0.05):ADHD+DD组的FSIQ、言语理解指数、知觉推理指数和工作记忆指数得分显著低于ADHD组,且FSIQ得分显著低于DD组。WISC-IV中10个核心分测验比较显示,与ADHD组相比,ADHD+DD组的相似性、词汇、领悟、背数、图片概念、矩阵推理和字母-数字排序得分显著更低(<0.05)。与DD组相比,ADHD+DD组的词汇、相似性、图片概念、矩阵推理和背数得分显著更低(<0.05)。
与单纯ADHD儿童相比,ADHD合并DD儿童的FSIQ、言语理解、知觉推理和工作记忆受损更严重,因此建议在临床实践中加强对ADHD合并DD儿童相似性、词汇、矩阵推理、图片概念和背数方面的训练。