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注意缺陷多动障碍中的视空间工作记忆:将路径长度和路径交叉作为损伤机制进行特征描述。

Visuospatial working memory in attention-deficit/hyperactivity disorder: Characterizing path length and path crossings as mechanisms of impairment.

机构信息

Department of Psychology, Oklahoma State University.

Psychology Department, California Lutheran University.

出版信息

Neuropsychology. 2022 Jul;36(5):405-418. doi: 10.1037/neu0000812. Epub 2022 Apr 21.

Abstract

OBJECTIVE

A growing body of research provides reliable evidence of moderate to large magnitude deficits in the visuospatial (VS) working memory (WM) of children with attention-deficit/hyperactivity disorder (ADHD), relative to typically developing (TD) children. Studies of ADHD-related Visuo-spatial Working Memory (VS-WM) functioning most often present sequential presentations of VS stimuli and examine general performance characteristics. Only a few studies have examined the effects of varying VS-WM task parameters on performance in children with ADHD, despite evidence from basic-cognitive research that indicates methodological heterogeneity in VS-WM task parameters yields significant performance variability that is associated with underlying mechanistic processes. This study is the first to examine the effect of the task parameters and on performance in children with ADHD and TD children.

METHOD

School-aged children with ADHD ( = 50) and TD children ( = 59) completed a VS-WM task that varied by path lengths and path crossings.

RESULTS

Multilevel analyses indicated a negative effect of relatively long paths on VS-WM performance of both TD children and children with ADHD, and a negative effect of increasing path crossings that appears to be unique to TD children and dependent on path length.

CONCLUSIONS

Overall, findings appear to suggest that school-aged children engage in dynamic rehearsal of VS information (i.e., mental rehearsal of path sequences), rather than static rehearsal (i.e., rehearsal of a gestalt). Moreover, ADHD-related VS-WM deficits are most likely to yield real-world impairments when information is presented with relatively long path lengths. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

目的

越来越多的研究提供了可靠的证据,表明与典型发育(TD)儿童相比,患有注意力缺陷/多动障碍(ADHD)的儿童在视空间(VS)工作记忆(WM)方面存在中等至较大程度的缺陷。ADHD 相关的视空间工作记忆(VS-WM)功能研究通常呈现 VS 刺激的连续呈现,并检查一般性能特征。尽管来自基础认知研究的证据表明,VS-WM 任务参数的方法异质性会导致与潜在机制过程相关的显著性能可变性,但只有少数研究检查了改变 VS-WM 任务参数对 ADHD 儿童和 TD 儿童表现的影响。本研究首次检查了任务参数 和 对 ADHD 和 TD 儿童表现的影响。

方法

患有 ADHD 的学龄儿童(n = 50)和 TD 儿童(n = 59)完成了一项 VS-WM 任务,该任务因路径长度和路径交叉而异。

结果

多层次分析表明,相对较长的路径对 TD 儿童和 ADHD 儿童的 VS-WM 表现都有负面影响,而增加路径交叉的负面影响似乎仅对 TD 儿童有影响,并且依赖于路径长度。

结论

总体而言,研究结果似乎表明,学龄儿童会对 VS 信息进行动态复述(即路径序列的心理复述),而不是静态复述(即整体的复述)。此外,当信息呈现出相对较长的路径长度时,与 ADHD 相关的 VS-WM 缺陷最有可能导致现实世界的损伤。(PsycInfo 数据库记录(c)2022 APA,保留所有权利)。

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