注意缺陷多动障碍儿童基于事件的前瞻性记忆缺陷:潜在认知因素及其与症状的关联

Event-Based Prospective Memory Deficit in Children with ADHD: Underlying Cognitive Factors and Association with Symptoms.

作者信息

Costanzo Floriana, Fucà Elisa, Menghini Deny, Circelli Antonella Rita, Carlesimo Giovanni Augusto, Costa Alberto, Vicari Stefano

机构信息

Child and Adolescent Psychiatry Unit, Department of Neuroscience, Bambino Gesù Children's Hospital, IRCCS, 00165- 00146, Rome, Italy.

Laboratory of Clinical and Behavioral Neurology, Santa Lucia Foundation, 00179 Rome, Italy.

出版信息

Int J Environ Res Public Health. 2021 May 29;18(11):5849. doi: 10.3390/ijerph18115849.

Abstract

Event-based prospective memory (PM) was investigated in children with Attention deficit/hyperactivity disorder (ADHD), using a novel experimental procedure to evaluate the role of working memory (WM) load, attentional focus, and reward sensitivity. The study included 24 children with ADHD and 23 typically-developing controls. The experimental paradigm comprised one baseline condition (BC), only including an ongoing task, and four PM conditions, varying for targets: 1 Target (1T), 4 Targets (4T), Unfocal (UN), and Reward (RE). Children with ADHD were slower than controls on all PM tasks and less accurate on both ongoing and PM tasks on the 4T and UN conditions. Within the ADHD group, the accuracy in the RE condition did not differ from BC. A significant relationship between ADHD-related symptoms and reduced accuracy/higher speed in PM conditions (PM and ongoing trials), but not in BC, was detected. Our data provide insight on the adverse role of WM load and attentional focus and the positive influence of reward in the PM performance of children with ADHD. Moreover, the relation between PM and ADHD symptoms paves the road for PM as a promising neuropsychological marker for ADHD diagnosis and intervention.

摘要

本研究采用一种新颖的实验程序,以评估工作记忆(WM)负荷、注意力焦点和奖励敏感性的作用,对患有注意力缺陷多动障碍(ADHD)的儿童进行基于事件的前瞻性记忆(PM)研究。该研究纳入了24名患有ADHD的儿童和23名发育正常的对照儿童。实验范式包括一个基线条件(BC),仅包括一个正在进行的任务,以及四个PM条件,根据目标不同而变化:1个目标(1T)、4个目标(4T)、无焦点(UN)和奖励(RE)。患有ADHD的儿童在所有PM任务上比对照组慢,并且在4T和UN条件下的正在进行任务和PM任务上准确性更低。在ADHD组中,RE条件下的准确性与BC条件下没有差异。研究发现,ADHD相关症状与PM条件(PM和正在进行的试验)而非BC条件下准确性降低/速度加快之间存在显著关系。我们的数据揭示了WM负荷和注意力焦点对患有ADHD的儿童PM表现的不利作用以及奖励的积极影响。此外,PM与ADHD症状之间的关系为将PM作为ADHD诊断和干预的有前景的神经心理学标志物铺平了道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3068/8199111/f553236dd374/ijerph-18-05849-g001.jpg

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