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工作记忆和组织技能在注意缺陷多动障碍儿童学业功能中的作用。

The role of working memory and organizational skills in academic functioning for children with attention-deficit/hyperactivity disorder.

机构信息

Department of Psychology, Florida State University.

Graduate School of Applied and Professional Psychology, Rutgers University.

出版信息

Neuropsychology. 2024 Sep;38(6):487-500. doi: 10.1037/neu0000960. Epub 2024 Jul 11.

Abstract

OBJECTIVE

Children with attention-deficit/hyperactivity disorder (ADHD) exhibit difficulties with organizational skills such as task planning, managing materials, and organizing activities that have downstream consequences on academic functioning. At the same time, deficits in working memory have been linked with both the organizational skills difficulties and academic underachievement and underperformance observed in children with ADHD and have been hypothesized to account for the link between organizational and academic functioning. However, the extent to which working memory and organizational skills independently versus jointly contribute to ADHD-related academic difficulties remains unclear.

METHOD

The present study is the first to examine the unique and shared roles of working memory and organizational skills for explaining ADHD-related underachievement and underperformance in a clinically evaluated sample of 309 children with and without ADHD ( = 10.34, = 1.42; 123 girls; 69.6% White Not Hispanic or Latino).

RESULTS

Bias-corrected, bootstrapped latent path analyses revealed that working memory and organizational skills together accounted for 100% of the academic achievement ( = -1.09) and 80.6% of the academic performance ( = -0.58) difficulties exhibited by children with ADHD. Working memory ( = -0.95 to -0.26), organizational skills ( = -0.30 to -0.11), and shared variance across working memory and organizational skills ( = -0.13 to -0.06) each independently predicted ADHD-related difficulties in both academic achievement and performance outcomes.

CONCLUSIONS

These findings are consistent with models suggesting that working memory has downstream consequences for functional impairments in ADHD, as well as evidence that organizational skills and working memory are each important predictors of ADHD-related academic functioning. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

患有注意缺陷多动障碍(ADHD)的儿童在任务规划、管理材料和组织活动等组织技能方面存在困难,这些困难对学业功能有后续影响。与此同时,工作记忆缺陷与 ADHD 儿童观察到的组织技能困难以及学业成绩不佳和表现不佳有关,并被假设可以解释组织和学业功能之间的联系。然而,工作记忆和组织技能在多大程度上独立或共同导致 ADHD 相关的学业困难仍不清楚。

方法

本研究首次在一个经过临床评估的 ADHD 儿童和非 ADHD 儿童样本(n=309,平均年龄=10.34 岁,标准差=1.42;123 名女孩;69.6%为白人非西班牙裔或拉丁裔)中,检验工作记忆和组织技能对 ADHD 相关学业成绩不佳和表现不佳的独特和共同作用。

结果

经过偏差校正、自举验证的潜在路径分析表明,工作记忆和组织技能共同解释了 ADHD 儿童学业成绩(β=-1.09)和学业表现(β=-0.58)困难的 100%。工作记忆(β=-0.95 至-0.26)、组织技能(β=-0.30 至-0.11)以及工作记忆和组织技能之间的共享方差(β=-0.13 至-0.06)各自独立预测了 ADHD 相关的学业成绩和表现困难。

结论

这些发现与工作记忆对 ADHD 中的功能障碍有后续影响的模型一致,也有证据表明组织技能和工作记忆都是 ADHD 相关学业功能的重要预测因素。

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