Department of Psychiatry, Ningxia Medical University, Ningxia, China.
Mental Health Centre, General Hospital of Ningxia Medical University, Ningxia, China.
Medicine (Baltimore). 2023 Oct 13;102(41):e35583. doi: 10.1097/MD.0000000000035583.
Attention deficit hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder, and cognitive flexibility is a sub-component of executive functioning. Studies have shown impairments in cognitive flexibility in ADHD, which is affected by attentional processes. Personality, as a long-standing trait, has a profound effect on ADHD. However, previous studies have not assessed the relationship between attentional function, personality traits, and cognitive flexibility in children with ADHD. This study explored the association between attention networks, personality, and cognitive flexibility in ADHD, filling a gap in the related field. We expect our findings will provide insights into and clues for the prevention and interventional treatment of ADHD. This study primarily aimed to analyze differences in cognitive flexibility between individuals with ADHD and those without and further examine associations between attention networks, personality, and cognitive flexibility in children with ADHD. Overall, 55 children aged 7 to 11 years diagnosed with ADHD and 40 children without ADHD participated in this study. Cognitive flexibility, personality traits, and attentional networks were assessed using the Wisconsin Card Sorting Test, Eysenck Personality Questionnaire, and Attention Network Test, respectively. Additionally, the association between personality traits and strong attentional functioning and cognitive flexibility was investigated using multiple regression analysis. Children with ADHD had significant deficits in cognitive flexibility. A multiple regression analysis revealed that the alerting effect was highly associated with cognitive flexibility at high levels of neuroticism. This association was not salient in individuals with low levels of neuroticism. This study demonstrated that the ADHD group experienced lower cognitive flexibility than the control group. In addition, we showed the effect of neuroticism and alerting networks on cognitive flexibility. These findings may help psychiatrists provide intervention strategies to mitigate the impairment of social functioning in ADHD with cognitive spirituality deficits.
注意缺陷多动障碍(ADHD)是一种普遍的神经发育障碍,认知灵活性是执行功能的一个子成分。研究表明,ADHD 患者的认知灵活性受损,这受到注意力过程的影响。人格作为一种长期存在的特质,对 ADHD 有深远的影响。然而,以前的研究并没有评估 ADHD 儿童的注意力功能、人格特质和认知灵活性之间的关系。本研究探讨了 ADHD 儿童的注意网络、人格和认知灵活性之间的关系,填补了相关领域的空白。我们希望我们的发现将为 ADHD 的预防和干预治疗提供见解和线索。本研究主要旨在分析 ADHD 个体与非 ADHD 个体之间的认知灵活性差异,并进一步探讨 ADHD 儿童的注意网络、人格和认知灵活性之间的关系。共有 55 名 7 至 11 岁的 ADHD 儿童和 40 名非 ADHD 儿童参与了这项研究。使用威斯康星卡片分类测验、艾森克人格问卷和注意网络测验分别评估认知灵活性、人格特质和注意力网络。此外,还使用多元回归分析研究了人格特质与强注意力功能和认知灵活性之间的关系。ADHD 儿童的认知灵活性存在显著缺陷。多元回归分析表明,在神经质水平较高的情况下,警觉效应与认知灵活性高度相关。在神经质水平较低的个体中,这种关联并不明显。本研究表明,ADHD 组的认知灵活性低于对照组。此外,我们还展示了神经质和警觉网络对认知灵活性的影响。这些发现可能有助于精神科医生提供干预策略,以减轻认知灵活性缺陷的 ADHD 患者的社会功能障碍。