目的 调查不同亚型注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童社会功能状况,为科学的临床干预提供科学依据。方法 采用Weiss功能缺陷量表(Weiss Functional Impairment Rating Scale-Parent Report,WFIRS-P)评价ADHD儿童的社会功能,比较ADHD组与正常儿童组的社会功能状况,分析不同亚型ADHD儿童的社会功能的差异。结果 ADHD组在家庭、学习/学校、生活技能、自我观念、社会活动、冒险活动6个维度社会功能均明显低于对照组,两组差异均有统计学意义(P<0.001);混合组(ADHD-C组)在各维度社会功能损害较注意缺陷组(ADHD-I组)、多动冲动组(ADHD-HI组)明显(P<0.05);ADHD-HI组在家庭功能损害比ADHD-I组明显(P=0.001),但在其他5个维度方面差异无统计学意义(P>0.05)。结论 ADHD儿童存在社会功能缺陷,不同亚型ADHD在社会功能损害上存在差异。
Abstract
Objective To study the characteristics of social functional status in different attention deficit hyperactivity disorder (ADHD) subtypes children. Methods Social function of ADHD children was evaluated by Weiss functional impairment rating scale-parent report(WFIRS-P),social function of ADHD group was compared with normal children group,and then the differences of social functional impairment were analyzed in different ADHD subtypes. Results ADHD children had deficits in 6 dimensions of social function including family,school,life skills,child's self-concept,social activities,risky activities.There was significant difference between ADHD group and normal group(P<0.001).The 6 dimensions of social functional impairment in ADHD-C group were more serious than that in ADHD-I group and ADHD-HI group.There was significant difference in dimension of family between ADHD-I group and ADHD-HI group(P=0.001),but no significant difference was found in other 5 dimensions(P>0.05). Conclusions ADHD children have impairment in social function,and there is different social functional impairment in different ADHD subtypes.
关键词
注意缺陷多动障碍 /
亚型 /
社会功能 /
儿童
Key words
attention deficit hyperactivity disorder /
subtypes /
social function /
children
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