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对以注意力不集中为主型与混合型注意力缺陷多动障碍成人的学习和记忆损伤评估。

Assessment of learning and memory impairments in adults with predominately inattentive versus combined presentation attention-deficit/hyperactivity disorder.

作者信息

Phillips Matthew S, Bing-Canar Hanaan, Shields Allison N, Cerny Brian, Chang Fini, Wisinger Amanda M, Leib Sophie I, Ovsiew Gabriel P, Resch Zachary J, Jennette Kyle J, Soble Jason R

机构信息

Department of Psychiatry, University of Illinois College of Medicine, Chicago, IL, USA.

Psychology Department, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA.

出版信息

Appl Neuropsychol Adult. 2025 Mar-Apr;32(2):346-355. doi: 10.1080/23279095.2023.2169887. Epub 2023 Jan 25.

DOI:10.1080/23279095.2023.2169887
PMID:36697387
Abstract

This cross-sectional study compared adults diagnosed with Attention-Deficit/Hyperactivity Disorder-Inattentive (ADHD-I) and ADHD-Combined (ADHD-C) presentations with a non-ADHD group on verbal and visual learning and delayed recall using the Rey Auditory Verbal Learning Test (RAVLT) and Brief Visuospatial Memory Test-Revised (BVMT-R), respectively. Data from 380 predominately college student adult outpatients were used, with 155 who met criteria for ADHD-I, 165 who met criteria for ADHD-C, and 60 who did not meet criteria for ADHD but were diagnosed with a primary depressive or anxiety disorder or received no diagnosis. Each patient was administered the RAVLT and BVMT-R as part of a comprehensive neuropsychological evaluation. Significant main effects of study group were found, such that patients with ADHD-C demonstrated worse learning and delayed recall of both verbal and visual information than patients with ADHD-I and the non-ADHD group. Patients with ADHD-I performed comparably to the non-ADHD group, apart from visual learning and delayed recall. Notably, more patients in the ADHD groups had possible or probable learning and memory impairment compared to the non-ADHD group. Findings were consistent with previous research indicating that those with ADHD exhibit poorer verbal and visual learning and delayed recall than those without ADHD.

摘要

这项横断面研究使用雷伊听觉词语学习测验(RAVLT)和修订版简短视觉空间记忆测验(BVMT-R),分别比较了被诊断为注意力缺陷/多动障碍-注意力不集中型(ADHD-I)和注意力缺陷/多动障碍-混合型(ADHD-C)的成年人与非ADHD组在言语和视觉学习及延迟回忆方面的表现。研究使用了380名主要为大学生的成年门诊患者的数据,其中155人符合ADHD-I的标准,165人符合ADHD-C的标准,60人不符合ADHD的标准,但被诊断为原发性抑郁或焦虑障碍,或未接受任何诊断。每位患者都接受了RAVLT和BVMT-R测试,作为全面神经心理学评估的一部分。研究组存在显著的主效应,即ADHD-C患者在言语和视觉信息的学习及延迟回忆方面比ADHD-I患者和非ADHD组更差。ADHD-I患者在视觉学习和延迟回忆方面除外,其表现与非ADHD组相当。值得注意的是,与非ADHD组相比,ADHD组中有更多患者可能或很可能存在学习和记忆障碍。研究结果与先前的研究一致,表明患有ADHD的人在言语和视觉学习及延迟回忆方面比没有ADHD的人表现更差。

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