Study on the delay aversion in childreh with attention deficit hyperactivity disorder
- LI Ying1, YANG Bin-rang1, CHEN Chu-qiao2, LI Jian-ying3, PENG Gang1, YANG Si-yuan4
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Abstract
【Objective】 To determine the characteristics in cognitive domain of sustained attention and response inhibitionl domain children with attention deficit hyperactivity disorder(ADHD). 【Methods】 One hundred children with ADHD and 100 healthy controls matched in age, gender, grade, handedness were measured with sustained attention response to task(SART) involing ability of suatained attention and response inhition. The performance was compared using multivariate analysis of variance(MANOVA) and MACOVA with FIQ controlled for between two groups. 【Results】 The omnibus MANOVA of the primary neuropsychological variables revealed a large group effect with P<0.001. The ANOVAs of each index showed that children with ADHD made more omission errors(P=0.004) and commission errors(P<0.001) than did healthy controls. Furthermore, the reaction times(RT) of correct response(P<0.001) in children with ADHD were much longer than that in healthy controls, and the variability of RT much more than the latter(P=0.001). The results remainded unchanged arter controlling for FIQ. 【Conclusion】 There are significant deficits of sustained attention and response inhibition in children with ADHD.
Key words
attention deficit hyperactivity disorder / sustained attention / response inhibition
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References
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[2] Frazier TW, Demaree HA, Youngstrom EA. Meta-analysis of intellectual and neuropsychological test performance in attention-deficit/hyperactivity disorder[J]. Neuropsychology,2004,18(3):543-555.
[3] Willcutt EG, Doyle AE, Nigg JT, et al. Validity of the executive function theory of attention-deficit/hyperactivity disorder: A meta-analytic review[J]. Biological Psychiatry,2005,57(11):1336-1346.
[4] 张跃兵,罗学荣,刘霞,等.注意缺陷多动障碍患儿执行功能特征[J].中国临床心理卫生杂志,2010,18(1):47-49.
[5] 刘灵,吕晔,杨玉凤,等.持续性注意测试与DSM-IV在诊断注意缺陷多动障碍中的意义[J].中国儿童保健杂志,2009,17(2):137-139.
[6] 潘学霞,万彬,麻宏伟,等.整合视听持续测试诊断不同年龄段注意缺陷多动障碍患儿的临床应用[J].实用儿科临床杂志,2008,23(12):908-910.
[7] Hervey AS, Epstein JN, Curry JF. Neuropsychology of adults with attention-deficit/hyperactivity disorder: A meta-analytic review[J]. Neuropsychology,2004,18(3):485-503.
[8] Lijffijt M, Kenemans JL, van Engeland H, et al. A Meta-analytic review of stopping performance in attention-deficit/hyperactivity disorder: Deficient inhibitory motor control?[J]. Journal of Abnormal Psychology,2005,114(2):216-222.
[9] Epstein JN, Delbello MP, Adler CM, et al. Differential patterns of brain activation over time in adolescents with and without attention deficit hyperactivity disorder(ADHD) during performance of a sustained task[J]. Neuropeidatircs,2009,40(1):1-5.
[10] Loo SK, Hale TS, Macion J, et al. Cortical patterns in ADHD during arousal, activation and sustained attention[J]. Neuropsychologia,2009,47(10):2114-2119.
