两种亚型注意缺陷多动障碍男童执行功能特征

中国儿童保健杂志 ›› 2011, Vol. 19 ›› Issue (12): 1084-1087.

两种亚型注意缺陷多动障碍男童执行功能特征

杨斌让,陈小文,张民,彭刚,张琳琳

深圳市儿童医院,广东深圳 518026

收稿日期:2011-09-23 发布日期:2011-12-06 出版日期:2011-12-06
作者简介:杨斌让(1971-),男,副主任医师,心理学博士,主要研究方向为儿童心理卫生及神经心理学
基金资助:
广东省医学科研基金(A209612);深圳市科技计划项目(200902108)

Characteristics of executive function in two subtypes of boys with attention deficit hyperactivity disorder

YANG Bin-rang,CHEN Xiao-wen,ZHANG Min,PENG Gang,ZHANG Lin-lin

Shenzhen Children's Hospital,Shenzhen,Guangdong 518026,China

Received:2011-09-23 Online:2011-12-06 Published:2011-12-06

摘要/Abstract

摘要： 【目的】探讨注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)混合型(ADHD-CT)及注意缺陷为主型(ADHD-IT)的男童执行功能特征。【方法】采用抑制(反应/不反应任务、停止信号任务、Stroop色-字任务)及工作记忆功能任务(顺背数字、倒背数字、Corsi木块回忆、n-Back)对76名ADHD-CT、15名ADHD-IT及15名对照组男童进行测试。【结果】 1) ADHD组儿童在反应/不反应任务、Stroop色-字任务、倒背数字、Corsi木块回忆任务上的表现明显差于对照组儿童,控制年龄、年级、总智商后比较差异有统计学意义。2) ADHD-CT与ADHD-IT组儿童在各测试任务上的表现差异无统计学意义。【结论】 ADHD儿童存在执行功能损伤。ADHD-CT与ADHD-IT亚型执行功能损伤模式相同。

关键词: 注意缺陷多动障碍, 执行功能, 反应抑制, 工作记忆

Abstract: 【Objective】 To explore the characteristics of executive function in attention deficit hyperactivity disorder, predominantly inattentive subtype (ADHD-IT) and ADHD combined subtype (ADHD). 【Method】 Seventy-six boys with ADHD-CT, 15 boys with ADHD-IT and 54 healthy control subjects performed inhibition functions (Go/no-go task, Stroop color-word test,stop signal task) and working memory functions (digits forward, digits backward, Corsi block recall and visual spatial n-back). 【Results】 1) ADHD groups performed significantly worse than healthy controls did in Go/no-go task, Stroop color-word test, digits backward, and Corsi block recall. After controlling for age, grade and full-scale intelligence quotient (FIQ), the results remained unchanged.2)There were no significant differences in all tasks between ADHD-CT and ADHD-IT subtypes. 【Conclusion】 The results suggest that boys with ADHD showed deficit in executive function. The pattern of deficit in executive function between ADHD-CT and ADHD-IT subtypes is similar to each other.

Key words: attention deficit hyperactivity disorder, executive function, response inhibition, working memory

中图分类号:

R749.94

杨斌让,陈小文,张民,彭刚,张琳琳. 两种亚型注意缺陷多动障碍男童执行功能特征[J]. 中国儿童保健杂志, 2011, 19(12): 1084-1087.

YANG Bin-rang,CHEN Xiao-wen,ZHANG Min,PENG Gang,ZHANG Lin-lin. Characteristics of executive function in two subtypes of boys with attention deficit hyperactivity disorder[J]. journal1, 2011, 19(12): 1084-1087.

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