注意缺陷多动障碍患儿自我觉知特点的研究

刘漪; 李彩霞; 杜亚松; 陈静

doi:10.11852/zgetbjzz2016-24-03-19

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中国儿童保健杂志 ›› 2016, Vol. 24 ›› Issue (3) : 285-288. DOI: 10.11852/zgetbjzz2016-24-03-19

临床研究与分析

注意缺陷多动障碍患儿自我觉知特点的研究

刘漪¹，李彩霞²，杜亚松¹，陈静¹

作者信息 +

Study on characteristics of self-awareness in children with attention deficit hyperactivity disorder.

LIU Yi¹,LI Cai-xia²,DU Ya-song¹,CHEN Jing¹.

Author information +

文章历史 +

摘要

目的探讨注意缺陷多动障碍(ADHD)儿童自我觉知的特点，为临床诊疗提供有效参考。方法采用病例对照研究方法，在上海交通大学医学院附属精神卫生中心儿少科心理门诊收集ADHD患儿作为研究组，随机选取与被试年龄、性别相匹配的健康发育儿童作为对照组，用Conners父母用症状问卷、儿童神经心理缺陷自评问卷(SAND-C)评估两组儿童的症状和自我觉知水平。结果 ADHD组在运动和行为控制、记忆和语言两个因子的得分和总分明显高于对照组，在注意因子上的得分低于对照组(P均<0.05);ADHD患儿神经心理缺陷自我觉知的运动和行为控制因子与Conners问卷的学习问题、焦虑、多动指数三个因子呈负相关(P均<0.05)。结论 ADHD组患儿不能意识到自身在疾病上的缺陷，过高地评估了自己的能力，神经心理缺陷自我觉知水平低下，会影响患儿的社会功能。

Abstract

Objective To explore the characteristics of self-awareness in children with attention deficits hyperactivity disorder (ADHD). Methods Participants in the research group were 62 children with ADHD and 61 normal children in typically developed group.Two groups were compared with the Subjective Awareness of Neuropsychological Deficits questionnaire for children(SAND-C) and Conner parents symptom questionnaire(PSQ). Results SAND-C scores of children with ADHD was significantly higher than those of control group on movement and behavior control,memory and language factors (P all<0.05),the attention factor of ADHD groups was lower than that of control group.The movement and behavior control of self-awareness had significant negative correlations with learning problem,anxiety and index of hyperactivity scores of PSQ. Conclusion Children with ADHD which evaluate their abilities too highly indicate the self-awareness of neuropsychological deficits and effects on social function.

导出引用

刘漪，李彩霞，杜亚松，陈静. 注意缺陷多动障碍患儿自我觉知特点的研究[J]. 中国儿童保健杂志. 2016, 24(3): 285-288 https://doi.org/10.11852/zgetbjzz2016-24-03-19

LIU Yi,LI Cai-xia,DU Ya-song,CHEN Jing. Study on characteristics of self-awareness in children with attention deficit hyperactivity disorder.[J]. Chinese Journal of Child Health Care. 2016, 24(3): 285-288 https://doi.org/10.11852/zgetbjzz2016-24-03-19

中图分类号： R179

参考文献

[1] 杜亚松.注意缺陷多动障碍多模式干预[M].北京:人民卫生出版社,2014.
[2] Barkley RA.Distinguishing sluggish cognitive tempo from ADHD in children and adolescents:executive functioning,impairment,and comorbidity[J].Clin Child Adolesc Psychol,2013,42(2):161-173.
[3] Hufford BJ,Fastenau PS.Development and validation of the subjective awareness of neuropsychological deficits questionnaire for children(SAND-C)[J].Clin Exp Neuropsychol,2005,27(3):255-277.
[4] 张文武,辛秦,杜亚松.儿童神经心理缺陷主观意识问卷(SAND-C)在上海儿童中的信效度初步评估[J].上海精神医学,2010,22(5):266-270.
[5] Bussing R,Fernandez M,Harwood M,et al.Parent and teacher SNAP-ⅳ ratings of attention deficit hyperactivity disorder symptoms:psychometric properties and normative ratings from a school district sample[J].Assessment,2008 ,15(3):317-328.
[6] 范娟,杜亚松,王立伟.Conners父母用症状问卷的中国城市常模和信度研究[J].上海精神医学,2005,17(6):321-323.
[7] Shany-Ur T,Lin N,Rosen HJ,et al.Self-awareness in neurodegenerative disease relies on neural structures mediating reward-driven attention[J].Brain,2014,137(8):2368-2381.
[8] Owens JS,Goldfine ME,Evangelista NM,et al.A critical review of self-perceptions and the positive illusory bias in children with ADHD[J].Clin Child Fam Psychol Rev,2007,10 (4):335-351.
[9] 杜亚松.儿童心理障碍诊疗学[M].北京:人民卫生出版社,2013.
[10] Hoza B,Murray-Close D,Arnold LE,et al.Time-dependent changes in positively biased self-perceptions of children with attention-deficit/hyperactivity disorder:A developmental psychopathology perspective[J].Dev Psychopathol,2010,22(2):375-390.
[11] Knouse LE,Bagwell CL,Barkley RA,et al.Accuracy of self-evaluation in adults With ADHD evidence from a driving study[J].Journal of Attention Disorders,2005,8(4):221-243.
[12] Pennington BF,Ozonoff S.Executive functions and developmental psychopathology[J].Journal of Child Psychology and Psychiatry,1996,37(1):51-87.
[13] Arnett AB,Pennington BF,Willcutt EG,et al.Sex differences in ADHD symptom severity[J].Journal Child Psychol Psychiatry,2015,56(6):632-639.
[14] Barkley RA.Distinguishing sluggish cognitive tempo from attention-deficit/hyperactivity disorder in adults[J].Journal of Abnormal Psychology,2012,121(4):978-990.
[15] Horn WF,Wagner AE,Ialongo N.Sex differences in school-aged children with pervasive attention deficit hyperactivity disorder[J].Journal Abnorm Child Psychol,1989,17(1):109-125.
[16] Ialongo NS,Lopez M,Horn WF,et al.Effects of psychostimulant medication on self-perceptions of competence,control,and mood in children with attention deficit hyperactivity disorder[J].Journal of Clinical Child Psychology,1994,23(2):161-173.