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重叠之外:理解基于问卷评估中多动症症状与执行功能损害之间的实证关联

Beyond the Overlap: Understanding the Empirical Association Between ADHD Symptoms and Executive Function Impairments in Questionnaire-Based Assessments.

作者信息

Ceruti Claudia, Marzocchi Gian Marco

机构信息

Department of Psychology, University of Milan-Bicocca, 20126 Milan, Italy.

Centro per l'Età Evolutiva, 24121 Bergamo, Italy.

出版信息

Children (Basel). 2025 Jul 24;12(8):970. doi: 10.3390/children12080970.

Abstract

: Executive function (EF) difficulties are increasingly recognized as closely linked to ADHD, particularly when assessed via rating scales. : The present study investigated the nature of these associations, using the Conners 3 Rating Scales to assess ADHD symptoms and the Executive Function Questionnaire (EFQU) to assess EF impairments, in a sample of 1068 children (40.8% males, 38.8% females) aged 7-14 years (M = 10.7, SD = 1.74). : Both parent and teacher ratings revealed strong correlations, particularly between inattentive symptoms and EF difficulties, across multiple executive domains. To examine whether these associations stemmed from construct or phrasing overlap, exploratory and confirmatory factor analyses were conducted. The results demonstrate that the Conners 3 and the EFQU capture distinct latent dimensions of functioning, with virtually no overlap in item content. : The strength and consistency of the associations between these latent factors support the interpretation that, although conceptually distinct, ADHD symptoms and EF impairments are empirically intertwined in everyday functioning, as consistently reported by both parents and teachers. Interestingly, teachers provided more integrated views of behavior, while parents tended to distinguish ADHD and EF traits more clearly. These findings underscore the importance of multi-informant assessment and contextual variability in understanding children's functioning.

摘要

执行功能(EF)困难越来越被认为与注意力缺陷多动障碍(ADHD)密切相关,尤其是通过评定量表进行评估时。本研究在1068名7至14岁(平均年龄M = 10.7,标准差SD = 1.74)的儿童样本中(40.8%为男性,38.8%为女性),使用康纳斯3评定量表评估ADHD症状,使用执行功能问卷(EFQU)评估执行功能障碍,调查了这些关联的性质。父母和教师的评定均显示出很强的相关性,尤其是在多个执行领域中,注意力不集中症状与执行功能困难之间的相关性。为了检验这些关联是源于结构重叠还是措辞重叠,进行了探索性和验证性因素分析。结果表明,康纳斯3量表和EFQU量表捕捉到了不同的潜在功能维度,项目内容几乎没有重叠。这些潜在因素之间关联的强度和一致性支持了这样一种解释:尽管在概念上不同,但ADHD症状和执行功能障碍在日常功能中在经验上相互交织,这与父母和教师的一致报告相符。有趣的是,教师对行为提供了更综合的看法,而父母往往更清楚地区分ADHD和执行功能特征。这些发现强调了多信息源评估和情境变异性在理解儿童功能方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b143/12384378/9c5e395ccea1/children-12-00970-g001.jpg

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