【目的】 探讨注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童在韦氏儿童智力量表第四版(Wechsler Intelligence Scale for Children-The Fourth Vision,WISC-IV)测试中的智力结构特征。 【方法】 按照美国《精神障碍诊断和统计手册》第四版(Diagnostic and Statistical Manual,Vision IV,DSM-IV)诊断标准确诊的ADHD儿童55名,按性别匹配以系统抽样的方法收集正常儿童55名作为对照组。使用WISC-IV测量ADHD儿童和正常儿童的智力分布和结构特点并进行比较。 【结果】 ADHD儿童的总智商及四个合成指数的得分均较正常儿童低,差异有统计学意义(P<0.05);各分测验上ADHD儿童的积木、背数、图画概念、字母排序、矩阵推理和符号检索等分测验的得分较对照组低,差异具有统计学意义(P<0.05)。 【结论】 WISC-IV应用于ADHD儿童的临床诊疗工作中,显示出一定的优势和特点,提示在临床工作中可以进行针对性的辅导和训练。
Abstract
【Objective】 To explore the intelligence structure characteristic of Attention Deficit Hyperactivity Disorder Children in WISC-IV. 【Method】 55 children who were diagnosed according to Diagnostic and Statistical Manual,Vision IV were selected,and 55 normal children with gender matched were selected by systematic sampling method.WISC-IV were used to test and analyze the intelligence distribution and structure of these children. 【Results】 The FSIQ and other 4 index scores of ADHD children were lower than that of normal children with statistical difference(P<0.05).In the subtests,the BD,DS,PCn,LN,MR and SS scores of ADHD children were lower than those of normal children with statistical difference(P<0.05).And the factor IV-impulse-hyperactivity index of Conners Child Behavior Rating Scale was negatively correlated with the FSIQ,PRI and WMI scores(P<0.05). 【Conclusion】 WISC-IV shows some advantage and feature in clinical diagnosis and treatment work of ADHD,and we can do some nichetargeting coach and training in clinical work and nursing care service.
关键词
韦氏儿童智力量表第四版 /
注意缺陷多动障碍 /
智力结构特征
Key words
Wechsler Intelligence Scale for Children-The Fourth Vision /
attention deficit hyperactivity disorder /
intelligence structure analysis
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