Surwillo W W
Biol Psychiatry. 1977 Dec;12(6):787-99.
Fifteen hyperactive boys aged 5.6-10.6 years had their electroencephalograms (EEG) recorded during performance of a simple reaction task while on stimulant medication (methylphenidate or d-amphetamine) and after being free of medication for at least 48 hr. Interval histograms were formed from measurements of the duration of 780 half waves taken from predetermined portions of the EEG'S recorded from the left parietal-occipital derivation for both treatment conditions, and the histograms were subjected to a central-moments analysis. Previous evidence showed that, in normal children, smaller-valued 2nd, 3rd, and 4th central moments were associated with greater maturity. The EEG histograms obtained while the hyperactive children were taking stimulant medication had significantly (p less than 0.005) smaller 2nd, 3rd, and 4th central moments than the histograms of the same children obtained when off medication. Age of the group predicted from the means of the 2nd, 3rd, and 4th central moments of the EEG interval histograms was 91 months when the children were off medication--9 months less than the group's actual mean age. Age predicted in the same way when the children were on medication was 97 months. Findings support the concept of a neurophysiological maturational lag in hyperactivity and suggest that this lag is overcome, in part, by the use of stimulant drugs.
15名年龄在5.6至10.6岁之间的多动男孩在进行简单反应任务时记录了脑电图(EEG),一次是在服用兴奋剂药物(哌甲酯或右旋苯丙胺)时,另一次是在停药至少48小时后。间隔直方图由从脑电图左顶枕导联记录的预定部分获取的780个半波持续时间测量值形成,两种治疗条件下均如此,并且对这些直方图进行了中心矩分析。先前的证据表明,在正常儿童中,较小值的二阶、三阶和四阶中心矩与更高的成熟度相关。多动儿童服用兴奋剂药物时获得的脑电图直方图的二阶、三阶和四阶中心矩明显(p小于0.005)小于同一儿童停药时获得的直方图。根据脑电图间隔直方图的二阶、三阶和四阶中心矩均值预测的该组儿童停药时的年龄为91个月,比该组实际平均年龄小9个月。儿童服药时以同样方式预测的年龄为97个月。研究结果支持多动存在神经生理成熟滞后的概念,并表明这种滞后部分地通过使用兴奋剂药物得以克服。