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[街头交通中的多动综合征与行为障碍:一项病例对照初步研究]

[Hyperkinetic syndrome and behavioral disorders in street traffic: a case control pilot study].

作者信息

Beck N, Warnke A, Krüger H P, Barglik W

机构信息

Klinik und Poliklinik für Kinder- und Jugendpsychiatrie, Julius Maximilians Universität Würzburg.

出版信息

Z Kinder Jugendpsychiatr Psychother. 1996 Jun;24(2):82-91.

PMID:9459667
Abstract

In the present pilot study we addressed the question of whether young people diagnosed with attention deficit hyperactivity disorder (ADHD) as children violate traffic regulations and are involved in traffic accidents more frequently than those in a control group without previous psychiatric disorders. The subjects in the ADHD group tended to be involved in traffic accidents more frequently than those in the control group. Furthermore, they had a significantly higher rate of involvement in traffic accidents before getting their driver's license. The two groups did not differ in the number of traffic violations, alcohol consumption or various attitudes related to driving. Split attention and reactive endurance were assessed with a computer-aided program. The ADHD group partly did significantly worse than the control group. Deficits on such performance measures and a lack of cognitive control in traffic may therefore be mediating factors for being accident-prone in traffic. Regardless of which group subjects were in initially, those reporting severe ADHD symptoms at the time of the study tended to be at an increased risk of causing traffic accidents and of being involved in more than one accident.

摘要

在本试点研究中,我们探讨了一个问题:儿童期被诊断为注意力缺陷多动障碍(ADHD)的年轻人是否比无既往精神疾病的对照组更频繁地违反交通规则并卷入交通事故。ADHD组的受试者比对照组更频繁地卷入交通事故。此外,他们在获得驾照之前卷入交通事故的发生率显著更高。两组在交通违规次数、酒精消费或与驾驶相关的各种态度方面没有差异。使用计算机辅助程序评估注意力分散和反应耐力。ADHD组在部分方面的表现明显比对照组差。因此,这些表现指标上的缺陷以及在交通中缺乏认知控制可能是交通中易发生事故的中介因素。无论受试者最初属于哪一组,在研究时报告有严重ADHD症状的人往往导致交通事故以及卷入不止一起事故的风险增加。

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