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注意缺陷多动障碍(AD/HD)、品行障碍(CD)、共病AD/HD+CD、焦虑症儿童及对照儿童的反应抑制:一项关于停止任务研究的荟萃分析

Response inhibition in AD/HD, CD, comorbid AD/HD + CD, anxious, and control children: a meta-analysis of studies with the stop task.

作者信息

Oosterlaan J, Logan G D, Sergeant J A

机构信息

Department of Clinical Psychology, University of Amsterdam, The Netherlands.

出版信息

J Child Psychol Psychiatry. 1998 Mar;39(3):411-25.

PMID:9670096
Abstract

The aim of this study was to investigate whether impaired response inhibition is uniquely related to AD/HD or whether deficits in response inhibition are also evident in other psychopathological disorders. Furthermore, the suggestion was examined that anxiety disorders are associated with abnormally high levels of response inhibition. This paper presents the results of a meta-analysis of eight studies in which response inhibition was assessed with the so-called stop task in five groups of children: children with attention deficit/hyperactivity disorder (AD/HD), children with conduct disorder (CD), children with AD/HD + CD, children with anxiety disorders, and control children. A total of 456 children participated in the 8 studies. All children were in the age range 6-12 years. Consistent and robust evidence was found for a response inhibition deficit in AD/HD. However, response inhibition deficits did not distinguish children with AD/HD from children with CD, nor from children with comorbid AD/HD + CD. Contrary to predictions, anxious children did not demonstrate enhanced levels of response inhibition.

摘要

本研究的目的是调查反应抑制受损是否仅与注意缺陷多动障碍(AD/HD)相关,或者反应抑制缺陷在其他精神病理障碍中是否也很明显。此外,还检验了焦虑症与反应抑制水平异常升高有关的这一观点。本文呈现了一项对八项研究的荟萃分析结果,其中在五组儿童中用所谓的停止任务评估反应抑制:注意缺陷/多动障碍(AD/HD)儿童、品行障碍(CD)儿童、AD/HD + CD共病儿童、焦虑症儿童以及对照儿童。共有456名儿童参与了这八项研究。所有儿童年龄在6至12岁之间。发现了关于AD/HD中反应抑制缺陷的一致且有力的证据。然而,反应抑制缺陷并不能区分AD/HD儿童与CD儿童,也不能区分AD/HD儿童与AD/HD + CD共病儿童。与预测相反,焦虑儿童并未表现出增强的反应抑制水平。

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