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评估注意缺陷多动障碍和特定学习障碍儿童的 p300 和光谱分辨率。

Evaluation of p300 and spectral resolution in children with attention deficit hyperactivity disorder and specific learning disorder.

机构信息

Department of Child and Adolescent Psychiatry, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.

Department of Child and Adolescent Psychiatry, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.

出版信息

Psychiatry Res Neuroimaging. 2023 Sep;334:111688. doi: 10.1016/j.pscychresns.2023.111688. Epub 2023 Jul 18.

Abstract

This study aims to examine auditory processing, P300 values and functional impairment levels among children with Attention Deficit and Hyperactivity Disorder (ADHD), Specific Learning Disorder (SLD), ADHD+SLD and healthy controls. Children with ADHD (n = 17), SLD (n = 15), ADHD+SLD (n = 15), and healthy controls (n = 15) between the ages of 7-12 were evaluated with K-SADS, Weiss Functional Impairment Rating Scale, Turgay DSM-IV Disruptive Behavior Disorders Rating Scale, The Mathematics, Reading, Writing Assessment Scale and Children's Auditory Performance Scale (CHAPS). Auditory P300 event-related potentials and Spectral-Temporally Modulated Ripple Test (SMRT) were applied. Three patient groups were found to be riskier than healthy controls according to the CHAPS. There was no significant difference between the groups in the SMRT. In post-hoc analyses of P300 parietal amplitudes, ADHD, SLD, and ADHD+SLD were found to be significantly lower than the control group. The amplitudes of the ADHD+SLD were by far the lowest. It has been shown that auditory performance skills and p300 amplitudes are lower in children diagnosed with only ADHD or SLD compared to the control group, with the lowest values observed in ADHD+SLD. This study suggests that the difficulties with attention and cognitive functions in the ADHD+SLD are more severe than ADHD and/or SLD without comorbidity.

摘要

本研究旨在检查注意缺陷多动障碍(ADHD)、特定学习障碍(SLD)、ADHD+SLD 儿童与健康对照组儿童的听觉处理、P300 值和功能障碍水平。7-12 岁的 ADHD 儿童(n=17)、SLD 儿童(n=15)、ADHD+SLD 儿童(n=15)和健康对照组儿童(n=15)接受 K-SADS、Weiss 功能障碍评定量表、Turgay DSM-IV 破坏性行为障碍评定量表、数学、阅读、写作评估量表和儿童听觉表现量表(CHAPS)评估。应用听觉 P300 事件相关电位和频谱时间调制纹波测试(SMRT)。根据 CHAPS,三个患者组被认为比健康对照组风险更高。SMRT 组间无显著差异。在 P300 顶叶振幅的事后分析中,ADHD、SLD 和 ADHD+SLD 明显低于对照组。ADHD+SLD 的振幅最低。研究表明,与对照组相比,仅诊断为 ADHD 或 SLD 的儿童的听觉表现技能和 p300 振幅较低,而 ADHD+SLD 的值最低。本研究表明,ADHD+SLD 中注意力和认知功能的困难比 ADHD 和/或 SLD 无共病更为严重。

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