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患有注意力缺陷多动障碍(ADHD)和未分化型注意力缺陷障碍(ADD)的非临床儿童样本中的定量脑电图差异。

Quantitative EEG differences in a nonclinical sample of children with ADHD and undifferentiated ADD.

作者信息

Kuperman S, Johnson B, Arndt S, Lindgren S, Wolraich M

机构信息

Department of Psychiatry, University of Iowa College of Medicine, Iowa City, USA.

出版信息

J Am Acad Child Adolesc Psychiatry. 1996 Aug;35(8):1009-17. doi: 10.1097/00004583-199608000-00011.

Abstract

OBJECTIVE

To use quantitative electroencephalographic (EEG) techniques to identify electrophysiological differences between children with distinct disorders of attention and/or hyperactivity.

METHOD

Forty children from a prescreened community sample were evaluated by means of both spectral EEG and evoked response potential (ERP) techniques. The children were 7 to 13 years of age and were selected on the basis of membership in one of the following DSM-III-R categories: attention-deficit hyperactivity disorder (ADHD) (n = 16), undifferentiated attention deficit disorder (UADD) (n = 12), or no disruptive disorder diagnosis (n = 12).

RESULTS

Spectral EEG revealed that UADD subjects had less delta band relative percent power (RPP) (p < .01), more beta band RPP (p < .01), and ERP findings of a decreased rare tone P300 amplitude (p < .02) compared with the control group. ADHD subjects had spectral EEG findings of increased beta band RPP (p < .05) and ERP findings of an increased common tone N100 latency (p < .02) and a decreased rare tone P300 amplitude (p < .02). Interhemispheric asymmetries appeared to distinguish the groups: the UADD group had spectral EEG asymmetries; the ADHD group had only ERP asymmetries; and the control group had no asymmetries.

CONCLUSION

Quantitative EEG techniques may prove useful in differentiating specific subtypes of ADHD.

摘要

目的

运用定量脑电图(EEG)技术来识别患有不同注意力和/或多动障碍的儿童之间的电生理差异。

方法

通过频谱脑电图和诱发电位(ERP)技术对来自预先筛选的社区样本中的40名儿童进行评估。这些儿童年龄在7至13岁之间,根据其属于以下DSM-III-R类别之一进行选择:注意力缺陷多动障碍(ADHD)(n = 16)、未分化型注意力缺陷障碍(UADD)(n = 12)或无破坏性行为障碍诊断(n = 12)。

结果

频谱脑电图显示,与对照组相比,UADD组受试者的δ波段相对功率百分比(RPP)更低(p <.01),β波段RPP更高(p <.01),且ERP结果显示罕见音调P300波幅降低(p <.02)。ADHD组受试者的频谱脑电图结果显示β波段RPP增加(p <.05),ERP结果显示常见音调N100潜伏期增加(p <.02)以及罕见音调P300波幅降低(p <.02)。半球间不对称似乎可以区分这些组:UADD组存在频谱脑电图不对称;ADHD组仅存在ERP不对称;而对照组不存在不对称。

结论

定量脑电图技术可能在区分ADHD的特定亚型方面有用。

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