不同亚型注意缺陷多动障碍儿童威斯康星卡片分类测验的研究.docVIP

不同亚型注意缺陷多动障碍儿童威斯康星卡片分类测验的研究 　　【摘要】 目的 探讨威斯康星卡片分类测验（WCST ）在不同亚型注意缺陷多动障碍（ADHD）儿童及正常对照组之间的反应特征及其差异，为开 展对ADHD儿童的干预工作提供依据。方法 采用1∶1病例对照研究，对10 2例ADHD儿童和102例正常对照组儿童进行WCST测试。研究组中注意缺陷型(PI)59例，多动/ 冲动型(HI)20例，混合型(CT)23例。结果 ADHD儿童WCST测试的错误应答 数(Re)、概念化水平(Rfp)、持续性应答数(Rp )、持续性错误数(Rpe)、非持续性错误(nRpe)显著低于正常对照组儿童（P＜0.05或0 .01）。不同亚型ADHD儿童WCST测试的错误应答数(Re)、概念化水平(Rfp)均显著低于 正常对照组；PI型的持续性应答数(Rp)、非持续性错误(nRpe)，HI型的持续 性错误数(Rpe)，CT型的持续性错误数(Rpe)、非持续性错误(nRpe)均显著低于正常对照组（ P＜0.05或0.01）。结论 不同亚型ADHD儿童存在明显的执行功能损 害，且各亚型之间的损害特征有所不同。 　　【关键词】 注意力缺陷障碍伴多动；分类法；智力测验；对比研究；儿 童 　　【中图分类号】 R 179 R 395.6 【文献标识码】 A 【文章编号】 1000-98 17(2007)09-0780-03 　　Study of Wisconsin Card Sorting Test in Children with Attention DeficitHyperactivity Disorder in Different Subtypes/ SHI Tong-kun, WU Li-jie,XIA Wei, et al. Department of Child and Adolescent Health, Public Health Colleg e, Harbin Medical University, Harbin(150081), China 　　【Abstract】 Objective To find out response characters and dif ferences of WCST Test among three different subtypes of attention deficit hypera ctivity disorder (ADHD) children and the age-matched normal controls, and to pr ovide evidence for the intervention on ADHD. Methods There were102 drug-naive ADHD subjects (predominantly inattentive type, PI:59 cases;pred ominant ly hyperactive/ impulsive type,HI:20 cases; combined type, CT: 23 cases; 72 boysand 30 girls; aged 6-10)in the study. All cases of ADHD were d iagnosed according to DSM-IV criteria. ResultsCompared to th enormal control group,the ADHD group showed significantly less in the scores of responses errors(Re), Rpf, perseverative responses(Rp), perseverative errors(Rpe ) and non-perseverative errors(nRpe). The children with ADHD in different subty pes showed significantly less scores than the control group in the scores of Reand Rfp. In addition, the PI type showed significantly lower scores in Rpe and n Rpe, HI type in Rpe, CT type in Rpe and nRpe than the control group. Con clusionThe children with ADHD have significantly executive-funct