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亚阈值注意缺陷/多动障碍儿童的认知控制缺陷

Cognitive Control Deficits in Children With Subthreshold Attention-Deficit/Hyperactivity Disorder.

作者信息

Chen Caiqi, Li Zhuangyang, Liu Xiqin, Pan Yongling, Wu Tingting

机构信息

School of Psychology, South China Normal University, Guangzhou, China.

Key Laboratory of Brain, Cognition and Education Sciences, Ministry of Education, South China Normal University, Guangzhou, China.

出版信息

Front Hum Neurosci. 2022 Mar 11;16:835544. doi: 10.3389/fnhum.2022.835544. eCollection 2022.

Abstract

Subthreshold Attention-Deficit/Hyperactivity Disorder (ADHD) is defined as a neurobiological condition with some core inattentive or hyperactive/impulsive symptoms of ADHD which do not meet the full diagnosis clinically. Although it has been well documented that deficits in cognitive control, a high-level cognitive construct closely related to attention, are frequently found among children with ADHD, whether subthreshold ADHD is also associated with similar deficits remains unclear. In this study, we examined the attention functions and the cognitive control capacity (CCC) in children with ADHD ( = 39), those with subthreshold ADHD ( = 34), and typically developing peers (TD, = 36). The results showed that the ADHD and subthreshold ADHD groups exhibited similar patterns of the impaired executive function of attention (revealed as an augment in flanker conflict effect) and reduced cognitive control capacity, and no significant difference was found between the two groups. These findings suggest that although children with subthreshold ADHD have not met the full criteria of ADHD, they showed reduced efficiency in cognitive control and attention function, similar to children with ADHD.

摘要

亚阈值注意缺陷/多动障碍(ADHD)被定义为一种神经生物学状况,具有一些ADHD的核心注意力不集中或多动/冲动症状,但临床上未达到完整诊断标准。尽管有充分文献记载,在ADHD儿童中经常发现与注意力密切相关的高级认知结构——认知控制存在缺陷,但亚阈值ADHD是否也与类似缺陷相关仍不清楚。在本研究中,我们检查了ADHD儿童(n = 39)、亚阈值ADHD儿童(n = 34)和发育正常的同龄人(TD,n = 36)的注意力功能和认知控制能力(CCC)。结果表明,ADHD组和亚阈值ADHD组在注意力执行功能受损模式(表现为侧翼冲突效应增强)和认知控制能力降低方面呈现相似模式,两组之间未发现显著差异。这些发现表明,尽管亚阈值ADHD儿童未达到ADHD的完整标准,但他们在认知控制和注意力功能方面表现出与ADHD儿童相似的效率降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/50e1/8963720/9fc41e048661/fnhum-16-835544-g001.jpg

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