品行障碍青少年执行功能的对照研究邹志礼蒙华庆李静胡华.DOC

品行障碍青少年执行功能的对照研究 邹志礼，蒙华庆，李静，胡华，马中锐 杜莲（400016 重庆，重庆医科大学附属第一医院心理卫生中心） [摘要] 目的 使用剑桥神经心理自动化成套测试(CANTAB)探讨品行障碍青少年与执行功能的关系。方法 采用韦氏成人智力测验(WAIS)简易版、CANTAB中的内外空间成套变换(IED)、剑桥袋球(SOC)和空间工作记忆（SWM）对86名品行障碍青少年和110名职高学生进行对照研究。结果 品行障碍青少年的智商水平(98.17±5.07)低于对照组(103.42±5.40，P0.01)；在IED中，品行障碍青少年的外维转换前期错误数、外维转换期错误数、错误总数均多于[(12.23±9.15)、( 16.69±10.57)、( 35.44±11.09)次]对照组[(8.31±3.80)、( 13.07±10.31)、( 25.63±12.24)次，P0.01]，阶段完成数少于对照组[(7.47±1.96)vs(8.29±0.91)次，P0.05]；在SOC中，品行障碍青少年完成任务的最少步数(7.65±1.96)多与对照组(6.70±2.05，P0.01)，在平均步数(3，5-move)多于对照组，在起始思考时间(4，5-move)短于对照组，差异均有统计学意义(P0.05)；在SWM中，品行障碍青少年总的组间搜索错误数(27.56±18.88次)多于对照组(20.47±18.40次，P0.01)，在组间搜索错误数（6，8-box）均多于正常对照组 (P0.01)，策略分高于对照组[(33.84±4.58)vs(32.00±5.05)分，P0.01]。结论 品行障碍青少年在执行功能方面存在一定的缺陷。 [关键词] 品行障碍；执行功能；CANTAB；青少年 A control study of executive function in adolescent conduct disorder Zou Zhili, Meng Huaqing, Li Jing Hu Hua, Ma Zhongrui, Du Lian (Mental Health Center, The First Affiliated Hospital, Chongqing Medical University, Chongqing 400016, China) [Abstract] Objective To study the relationship between adolescent conduct disorder and executive function by using the Cambridge Neuropsychological Test Automated Battery (CANTAB). Methods 86 adolescents with conduct disorder and 118 normal controls were tested by the Wechsler adult intelligence scale short form (WAIS-S), Intra/Extra dimensional Set Shift (IED), Stockings of Cambridge (SoC) and Spatial Working Memory (SWM) in CANTAB. Results There was significant difference in IQ between conduct disorder group (98.17±5.07) and normal control group (103.42±5.40, P0.01); Conduct disorder group [(12.23±9.15),( 16.69±10.57),( 35.44±11.09)] was significantly more than normal control group [(8.31±3.80),( 13.07±10.31),( 25.63±12.24), P0.01] in Pre-ED errors, EDS errors, total errors, and fewer than normal controls in stages completed[(7.47±1.96)vs(8.29±0.91),P0.05] on the IED test; Conduct disorder group was significantly more than normal control group in Problems solved in minimum moves, mean