学龄期阿斯伯格综合征与注意缺陷多动障碍儿童智力结构的对比研究

doi:10.11852/zgetbjzz2017-25-09-19

中国儿童保健杂志 ›› 2017, Vol. 25 ›› Issue (9): 928-927.DOI: 10.11852/zgetbjzz2017-25-09-19

学龄期阿斯伯格综合征与注意缺陷多动障碍儿童智力结构的对比研究

梁亚勇,陈凯云,陈碧媛,岑超群,邹小兵

中山大学附属第三医院儿童发育行为中心,广东广州 510630

收稿日期:2016-11-05 发布日期:2017-09-10 出版日期:2017-09-10
通讯作者: 邹小兵,E-mail:zouxb@163.net
作者简介:梁亚勇(1982-),男,河南人,主治医师,硕士学位,主要研究方向为发育行为儿科学
基金资助:
国家科技部973计划(2012CB517901);中山大学5010计划项目(A998)

Comparative study on intelligence structure between school-age children with Asperger syndrome and attention deficit hyperactivity disorder

LIANG Ya-yong,CHEN Kai-yun,CHEN Bi-yuan,CEN Chao-qun,ZOU Xiao-bing

Child Development & Behavioral Center,the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou,Guangdong 510630,China

Received:2016-11-05 Online:2017-09-10 Published:2017-09-10
Contact: ZOU Xiao-bing,E-mail:zouxb@163.com

摘要/Abstract

摘要： 目的分析学龄期阿斯伯格综合征(AS)与注意缺陷多动障碍(ADHD)儿童智力结构的差异。方法本研究选取157例学龄AS儿童为病例组,其中男146例,女11例,年龄6.0～14.0岁,平均(8.47±2.07)岁;对照组157例ADHD儿童,其中男145例,女12例,年龄6.1～14.0岁,平均(8.81±1.66)岁,应用韦氏智力测试量表(C-WISC)对两组儿童测试并进行对比分析。结果 1)AS组中言语智商(VIQ)高于操作智商(PIQ)者的比例(40.76%)显著高于ADHD组(9.55%)。而ADHD组PIQ高于VIQ者的比例(19.11%)显著高于AS组(5.73%)。两组儿童智力发展不平衡情况(“VIQ-PIQ>14分”及“PIQ-VIQ>14分”)的比例不同(P<0.01)。AS组儿童VIQ、PIQ不均衡者比例(46.50%)显著高于ADHD组(28.66%)(P<0.01)。2)Kaufman 因子分析示AS组儿童在注意/不分心因子(C因子)得分与ADHD组儿童比较,差异无统计学意义(P>0.05);但言语理解因子(A因子)得分显著高于ADHD组,而知觉组织因子(B因子)显著低于ADHD组,差异均有统计学意义(P<0.05)。结论学龄期AS儿童智力发展不平衡现象较ADHD儿童常见,AS儿童主要表现为言语智商高于操作智商,而ADHD儿童则相反。

关键词: 阿斯伯格综合征, 注意缺陷多动障碍, 智力结构, 对比研究

Abstract: Objective To analyse the difference of intelligence structure between Asperger syndrome (AS) children and attention deficit hyperactivity disorder (ADHD) children in school-age.Methods A total of 157 school-age AS children(146 males and 11 females,aged from 6 to 14 years,with an average age of 8.47±2.07 years) and 157 school-age ADHD children(145 males and 12 females,aged 6.1 to 14 years,mean 8.81±1.66 years) were evaluated by the Wechsler Intelligence Scale (C-WISC) .The test results of the two groups were compared and analyzed.Results 1)The ratio of verbal intelligence quotient (VIQ) > performance intelligence quotient (PIQ) in AS group (40.76%) was significantly higher than that in ADHD group (9.55%).And the ratio of PIQ>VIQ in ADHD group (19.11%) was significantly higher than that in AS group (5.73%).The imbalance of intelligence development between the two groups ("VIQ-PIQ>14" and "PIQ-VIQ>14") was different (P<0.01).The ratio of intelligence development imbalance in AS group (46.50%) was significantly higher than that in ADHD group(28.66%)(P<0.01).2)Kaufman factor analysis showed that there was no significant difference between the two group in memory and care factor (C factor)(P>0.05) .But AS group had significantly higher score on Verbal Comprehension than that of ADHD group,and significantly lower score on Perceptual Organization than that of ADHD group,the differences were statistically significant (all P<0.05).Conclusions The intelligence development imbalance in school-age AS children is more common than that in ADHD children. AS children mostly have higher score on VIQ than PIQ ,whereas ADHD children have the opposite results.

Key words: Asperger syndrome, attention deficit hyperactivity disorder, intelligence structure, comparative study

中图分类号:

R179

梁亚勇,陈凯云,陈碧媛,岑超群,邹小兵. 学龄期阿斯伯格综合征与注意缺陷多动障碍儿童智力结构的对比研究[J]. 中国儿童保健杂志, 2017, 25(9): 928-927.

LIANG Ya-yong,CHEN Kai-yun,CHEN Bi-yuan,CEN Chao-qun,ZOU Xiao-bing. Comparative study on intelligence structure between school-age children with Asperger syndrome and attention deficit hyperactivity disorder[J]. journal1, 2017, 25(9): 928-927.

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学龄期阿斯伯格综合征与注意缺陷多动障碍儿童智力结构的对比研究

Comparative study on intelligence structure between school-age children with Asperger syndrome and attention deficit hyperactivity disorder

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