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多动症儿童学习时间利用不足:通过兴奋剂治疗进行纠正。

Hyperactive children's underuse of learning time: correction by stimulant treatment.

作者信息

Dalby J T, Kinsbourne M, Swanson J M, Sobol M P

出版信息

Child Dev. 1977 Dec;48(4):1448-53.

PMID:608366
Abstract

This study investigates the effects of methylphenidate (Ritalin) on hyperactive children's performance on a paired-associate learning task under 3 presentation rates (4, 8, and 12 sec per item). The total-time hypothesis states that a fixed amount of time is necessary to learn a fixed amount of material, regardless of the number of trials into which that time is divided. In a double-blind crossover design, the total-time hypothesis was supported by performance in a drug state, but not by performance in a placebo state, where slower presentation rates were not utilized effectively. These results are discussed in terms of inattention in the placebo state and improved attention and use of learning time in the drug state. The methodology presented is suggested as a means of assessing attentional deficits as well as providing a diagnostic procedure for objectively evaluating the appropriateness of stimulant treatment for children referred for symptoms of hyperactivity.

摘要

本研究调查了哌甲酯(利他林)对多动儿童在3种呈现速率(每项4秒、8秒和12秒)下配对联想学习任务表现的影响。总时间假说认为,学习一定量的材料需要固定的时间量,而不论该时间被划分成的试验次数。在双盲交叉设计中,药物状态下的表现支持了总时间假说,但安慰剂状态下的表现却不支持,在安慰剂状态下较慢的呈现速率未得到有效利用。根据安慰剂状态下的注意力不集中以及药物状态下注意力的改善和学习时间的利用情况对这些结果进行了讨论。所提出的方法被认为是评估注意力缺陷的一种手段,同时也为客观评估因多动症状前来就诊的儿童使用兴奋剂治疗的适宜性提供了一种诊断程序。

相似文献

1
Hyperactive children's underuse of learning time: correction by stimulant treatment.多动症儿童学习时间利用不足:通过兴奋剂治疗进行纠正。
Child Dev. 1977 Dec;48(4):1448-53.
2
Effects of methylphenidate on hyperactive children's ability to sustain attention.哌甲酯对多动症儿童维持注意力能力的影响。
Pediatrics. 1979 Oct;64(4):412-8.
3
Methylphenidate in hyperkinetic children: differences in dose effects on impulsive behavior.
Pediatrics. 1979 Oct;64(4):408-11.
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Efficacy of methylphenidate among mentally retarded children with attention deficit hyperactivity disorder.哌甲酯对患有注意力缺陷多动障碍的智力迟钝儿童的疗效。
Pediatrics. 1990 Dec;86(6):922-30.
5
Methylphenidate hydrochloride given with or before breakfast: I. Behavioral, cognitive, and electrophysiologic effects.
Pediatrics. 1983 Jul;72(1):49-55.
6
Behavioral and stimulant treatment of hyperactive children: a therapy study with methylphenidate probes in a within-subject design.多动儿童的行为与兴奋剂治疗:一项在受试者自身设计中使用哌甲酯探针的治疗研究。
J Appl Behav Anal. 1980 Summer;13(2):221-36. doi: 10.1901/jaba.1980.13-221.
7
Observations on effects of a central stimulant drug (methylphenidate) in children with hyperactive behavior.
Pediatrics. 1975 May;55(5):709-16.
8
The effects of methylphenidate on the soft neurological signs of hyperactive children.
Pediatrics. 1976 Apr;57(4):521-5.
9
State-dependent learning in hyperactive children receiving methylphenidate.接受哌甲酯治疗的多动症儿童的状态依赖学习
Am J Psychiatry. 1985 Apr;142(4):455-9. doi: 10.1176/ajp.142.4.455.
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Randomized, controlled, crossover trial of methylphenidate in pervasive developmental disorders with hyperactivity.哌醋甲酯治疗伴有多动的广泛性发育障碍的随机对照交叉试验
Arch Gen Psychiatry. 2005 Nov;62(11):1266-74. doi: 10.1001/archpsyc.62.11.1266.

引用本文的文献

1
Context-dependent dynamic processes in attention deficit/hyperactivity disorder: differentiating common and unique effects of state regulation deficits and delay aversion.注意缺陷多动障碍中的情境依赖动态过程:辨别状态调节缺陷和延迟回避的共同和独特影响。
Neuropsychol Rev. 2010 Mar;20(1):86-102. doi: 10.1007/s11065-009-9115-0. Epub 2009 Sep 15.
2
Interval length and time-use by children with AD/HD: a comparison of four models.注意缺陷多动障碍儿童的间隔时长和时间利用:四种模型的比较
J Abnorm Child Psychol. 2002 Jun;30(3):257-64. doi: 10.1023/a:1015154829796.
3
Paired-associate learning in attention-deficit/hyperactivity disorder as a function of hyperactivity-impulsivity and oppositional defiant disorder.
J Abnorm Child Psychol. 1999 Jun;27(3):237-45. doi: 10.1023/a:1021956507983.
4
Methylphenidate increases selectivity of visual scanning in children referred for hyperactivity.
J Abnorm Child Psychol. 1982 Jun;10(2):145-61. doi: 10.1007/BF00915937.
5
Self-paced learning in children with attention deficit disorder with hyperactivity.多动症儿童的自主学习
J Abnorm Child Psychol. 1989 Jun;17(3):269-75. doi: 10.1007/BF00917398.
6
Auditory attention switching in hyperactive children.多动症儿童的听觉注意力转换
J Abnorm Child Psychol. 1991 Aug;19(4):479-92. doi: 10.1007/BF00919090.
7
A pattern of test findings predicting attention problems at school.一种预测在校注意力问题的测试结果模式。
J Abnorm Child Psychol. 1991 Aug;19(4):451-67. doi: 10.1007/BF00919088.
8
Effects of methylphenidate (Ritalin) on selective attention in hyperactive children.哌甲酯(利他林)对多动症儿童选择性注意力的影响。
J Abnorm Child Psychol. 1979 Dec;7(4):471-81. doi: 10.1007/BF00917617.