Fidan Saniye Tülin, Sarıyer Merve Nur
Department of Child and Adolescent Psychiatry, Osmangazi University Faculty of Medicine, Eskişehir, Türkiye.
Department of Speech and Language Therapy, Anadolu University Faculty of Health Sciences, Eskişehir, Türkiye.
Psychiatry Clin Psychopharmacol. 2025 Apr 28;35(3):234-244. doi: 10.5152/pcp.2025.241035.
Background: This study aims to explore cluttering and working memory in children and adolescents diagnosed with different subtypes of Attention Deficit Hyperactivity Disorder (ADHD) and to compare them with typically developing (TD) children and adolescents. Methods: The sample included 200 ADHD participants and a control group of 49 TD participants. All participants completed the Working Memory Scale and Predictive Cluttering Inventory-revised ). Data were analyzed using SPSS, and Mann-Whitney U and Kruskal-Wallis tests were performed to assess differences between the groups. A significance level of P < .05 was used for all analyses. Results: Significant differences were observed in the Working Memory, Visual Memory, and Verbal Memory scores across the Typically Developed ADHD-Inattentive type and ADHD-Combined type groups (P < .001). Additionally, there were significant differences in the PCI-TR scores, including motor speech, language planning, attention, motor planning, and total scores, between the 3 groups. The findings indicated significant differences between the groups across all variables (p < .001). Conclusion: The study concluded that cluttering is present in both the ADHD Inattentive and Combined types. It is recommended that children diagnosed with ADHD undergo more comprehensive assessments of their language and speech capabilities.
本研究旨在探究被诊断为不同亚型注意力缺陷多动障碍（ADHD）的儿童和青少年的言语杂乱及工作记忆情况，并将他们与发育正常（TD）的儿童和青少年进行比较。方法：样本包括200名ADHD参与者和一个由49名TD参与者组成的对照组。所有参与者均完成了工作记忆量表和修订版预测性言语杂乱量表（PCI）。使用SPSS对数据进行分析，并进行曼-惠特尼U检验和克鲁斯卡尔-沃利斯检验以评估组间差异。所有分析的显著性水平均设定为P < .05。结果：在发育正常组、注意力不集中型ADHD组和混合型ADHD组之间，工作记忆、视觉记忆和言语记忆得分存在显著差异（P < .001）。此外，三组之间在PCI-TR得分上也存在显著差异，包括运动言语、语言规划、注意力、运动规划和总分。研究结果表明，所有变量在组间均存在显著差异（p < .001）。结论：该研究得出结论，注意力不集中型和混合型ADHD均存在言语杂乱现象。建议对被诊断为ADHD的儿童进行更全面的语言和言语能力评估。
