目的 探究ADHD患儿的智力特征以及智商和行为问题之间的关系。方法 采用韦氏智力测试第Ⅳ版和Conners父母症状问卷对185例6~16岁ADHD患儿进行智力测试和行为评估,并与健康儿童对比。结果 1)研究组的智力得分显著低于正常对照组(P<0.05);各亚型之间智商差异无统计学意义(P>0.05);2)两组之间认知效率指数和认知效率相对低下发生率差异有统计学意义(P<0.05);3)ADHD患儿智力和行为问题之间具有相关性。结论 ADHD患儿智商低于正常儿童,且存在认知效率低下的智力内部特征,其智商与学习行为和焦虑情绪存在负相关。
Abstract
Objectives To explore the intelligence features of children with attention deficit hyperactivity disorder (ADHD),and the relationship between intelligence and behavior problems in ADHD children. Methods A total of 185 ADHD children,aged 6~16 years,were tested by WISC-Ⅳ and Conners Parent Symptoms Questionnaire,And the results were compared with those of 96 healthy children. Results 1) The total IQ performance and each subtest were all significantly lower in study group than those in normal control group (P<0.05).However,there were no significant differences among different ADHD subtypes (P>0.05).2) The score distribution of two groups' cognitive efficiency index was significantly different.The cognitive effciency index and the prevalence rate of lower cognitive efficiency in the study group was significantly higher than that in the control group (P<0.05).3) Total IQ of ADHD children was significantly related to behavior problem. Conclusions ADHD children's IQ is worse,and with lower cognitive efficiency.Lower IQ performance is related to study problem and anxiety in ADHD children.
关键词
韦氏智力测验第Ⅳ版 /
注意缺陷多动障碍 /
认知效率 /
行为问题
Key words
Wechsler Intelligence Scale for Children-Ⅳ /
attention deficit hyperactivity disorder /
cognitive efficiency /
behavior problem
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] Jin WL,Li GZ,Du YS,et al.ADHD symptoms in children aged 5 to 15 years in Zhabei District,Shanghai[J].Eur J Psychiatry,2016,30(3):173-182.
[2] 李毓秋.WISC-Ⅳ中文版的一般能力指数和认知效率指数的介评[J].教育测量与评价,2010(12):4-7.
[3] Mayes SD,Calhoun SL.WISC-Ⅳ and WISC-Ⅲ profiles in children with ADHD[J].J Atten Disord,2006,9(3):486.
[4] Wenqing JIANG,Yasong DU,Juan FAN.Cognitive deficits feature of male with attention deficit hyperactivity disorder-based on the study of WISC-IV[J/OL].African Journal of Psychiatry,2015,18(2).https://www.researchgate.net/Publication/275224333.
[5] 张厚粲.韦氏儿童智力量表第四版(WISC-Ⅳ)中文版的修订[J].心理科学,2009(5):1177-1179.
[6] Weiss LG,Prifitera A,Holdnack JA,et al.WISC-Ⅳ Advanced clinical interpretation[J].Can Psychol,2015,48(1):51-53.
[7] 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.
[8] Chou YT,Chen PT,Wu WH,et al.Children's sustained attention correlates better with teachers than parents:Using Swanson,Nolan,and Pelham,version Ⅳ scale and continuous performance test[J].Asian J Psychiatr,2017,25:205-206.
[9] 胡华芸,吴婕翎,林文璇,等.注意缺陷多动障碍共患数学学习困难儿童韦氏儿童智力结构特征[J].中国儿童保健杂志,2015,23(8):811-813.
[10] 林文璇,王馨,吴婕翎,等.韦氏儿童智力量表第四版在注意缺陷多动障碍儿童智力结构分析中的应用[J].中国儿童保健杂志,2012,20(1):58-61.
[11] 金宇,苏林雁,邹小兵,等.不同亚型注意缺陷多动障碍儿童智力特征的分析[J].中国临床心理学杂志,2008,16(3):297-299.
[12] 杜亚松,苏林雁,李雪荣.注意缺陷多动障碍的智力研究[J].中国临床心理学杂志,1997,5(3):172-173.
[13] 杨梅凤,江瑞芬,刘文龙.注意缺陷多动障碍儿童智力结构特点分析[J].中国儿童保健杂志,2012,20(1):64-66.
[14] Prifitera A,Saklofske DH,Weiss LG.WISC-Ⅳ clinical assessment and intervention[M].Netherlands:Elsevier Academic Press,2008.
[15] Thaler NS,Bello DT,Etcoff LM.WISC-Ⅳ profiles are associated with differences in symptomatology and outcome in children with ADHD[J].J Atten Disord,2013,17(4):291-301.
基金
上海交通大学医学院-中国科学院神经科学研究所“脑疾病临床研究中心资助”(2015NKX005);国家重点研发计划:重大慢性非传染性疾病防控研究(2017YFC1309903); 2013年上海市精神卫生中心特色专科建设项目(2013-YJTSZK-04);国家自然科学基金面上项目(81771477)
PDF(517 KB)
