抽动障碍儿童智力与注意力特征研究
- 辛晓昱,周长虹,陈娟,匡桂芳
作者信息
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Study of intelligence and attention characteristics of children with tic disorder
- XIN Xiao-yu, ZHOU Chang-hong, CHEN Juan, KUANG Gui-fang
Author information
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文章历史
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摘要
【目的】 探讨抽动障碍(tic disorder, TD)儿童智力结构特征及注意特征,为临床综合治疗提供依据。 【方法】 采用韦氏儿童智力量表(C-WISC) 及视听整合持续操作评估系统(IVA-CPT)对TD组及正常对照组儿童各60 例进行智力测验及注意力测验,对结果进行对比分析。 【结果】 抽动障碍患儿言语智商、操作智商和总智商明显低于对照组(P<0.001) ,操作量表中除拼图分测验无差异外其余分测验及言语量表各分测验均明显低于对照组,差异有统计学意义(P<0.01)。抽动障碍儿童IVA-CPT 综合注意力商数、听觉注意力商数和视觉注意力商数均低于正常对照儿童,差异有统计学意义(P<0.001)。 【结论】 抽动障碍儿童存在智力及注意力损害,应采取综合治疗措施。
Abstract
【Objective】 To investigate the intelligence and attention characteristics of children with tic disorder (TD). 【Method】 60 children with TD and 60 randomly selected healthy children were tested respectively with C-WISC and IVA-CPT. 【Results】 The scores of VIQ, PIQ and FIQ were significantly lower in TD group than that of healthy children (P<0.01). All scores of the operating subtest except object assembal subtest and all scores of language subtests of children with TD were significantly lower than that of healthy children (P<0.01). It was significantly lower for full attention quotient (FAQ), auditory attention quotient (AAQ) and visual attention Quotient (VAQ) in TD group than those in normal control group (P<0.001). 【Conclusion】 Children with TD have deficits in intelligence and attention, the comprehensive treatment should be taken.
关键词
抽动性运动障碍 / 智力 / 注意力 / 视听整合持续操作测验
Key words
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参考文献
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[2] Bornstein RA, Baker GB, Bazylewich T, et al. Tourette syndrome and neuropsychological performance[J]. Acta Psychiatr Scand,1991,84(3):212-216.
[3] Como PG. Neuropsychological function in Tourette syndrome[J], Adv Neurol,2001,85:103-111.
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[5] 龚耀先,蔡太生.中国修订韦氏儿童智力量表(C-WISC)手册[M].长沙:湖南地图出版社,1993.
[6] Harding KL, Judah RD, Gant CE. Outcome based comparison of ritalin versus food supplement treated children with ADHD[J]. AlternMedRev,2003,8(3):319-330.
[7] 高铁英,喻书彻,史秀兰,等.儿童ADHD视听整合持续操作测验的诊断意义及与血铅、铁、锌的相关研究[J].中国儿童保健杂志,2005,13(1):33-39.
[8] 胡佩诚.医学心理学[M].8版.北京:北京医科大学出社,2000:123-124.
[9] Bornstein RA, Yang V. Neuropsychological performance in medicated and unmediated patients with Tourette's disorder[J]. Am J Psychiatry,1991,148:468-471.
[10] 陈景清,李宫迎,马洪霞.抽动秽语综合征患者的智力水平研究[J].中国行为医学科学,2001,10(3):189-190.
[11] Pessoa L, Ungerleider LG. Neuroim aging studies of attention and the processing of emotion-laden stimuli[J]. Prog BrainRes,2004,144:171-182.
[2] Bornstein RA, Baker GB, Bazylewich T, et al. Tourette syndrome and neuropsychological performance[J]. Acta Psychiatr Scand,1991,84(3):212-216.
[3] Como PG. Neuropsychological function in Tourette syndrome[J], Adv Neurol,2001,85:103-111.
[4] 刘平,许又新.ICD-10精神与行为障碍分类研究用诊断标准[M].北京:人民卫生出版社,1995:155-156.
[5] 龚耀先,蔡太生.中国修订韦氏儿童智力量表(C-WISC)手册[M].长沙:湖南地图出版社,1993.
[6] Harding KL, Judah RD, Gant CE. Outcome based comparison of ritalin versus food supplement treated children with ADHD[J]. AlternMedRev,2003,8(3):319-330.
[7] 高铁英,喻书彻,史秀兰,等.儿童ADHD视听整合持续操作测验的诊断意义及与血铅、铁、锌的相关研究[J].中国儿童保健杂志,2005,13(1):33-39.
[8] 胡佩诚.医学心理学[M].8版.北京:北京医科大学出社,2000:123-124.
[9] Bornstein RA, Yang V. Neuropsychological performance in medicated and unmediated patients with Tourette's disorder[J]. Am J Psychiatry,1991,148:468-471.
[10] 陈景清,李宫迎,马洪霞.抽动秽语综合征患者的智力水平研究[J].中国行为医学科学,2001,10(3):189-190.
[11] Pessoa L, Ungerleider LG. Neuroim aging studies of attention and the processing of emotion-laden stimuli[J]. Prog BrainRes,2004,144:171-182.
基金
青岛市科学技术局基金基目(08-2-1-6-nsh)
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