关键词: 注意缺陷多动障碍, 功能性构音障碍, 语音治疗, 儿童

Abstract: Objective To compare the efficacy of speech therapy in children with functional articulation disorder (FAD) with or without attention deficit hyperactivity disorder (ADHD). Methods A total of 110 children diagnosed with FAD were selected as research objects from department of Speech Therapy,the first affiliated hospital,Zhengzhou university.According to whether fulfilled ADHD criteria of DSM-Ⅳ,the children were further divided into 3 subtypes:predominantly inattentive(I,18 cases),predominantly hyperactive-impulsive (HI,12 cases) and combined type (C,22 cases).Then the FAD-I group,the FAD-HI group,the FAD-C group and the non-ADHD group were given the same speech therapy.At last the phonetic intelligibility (PI) of the four groups was compared before and after speech therapy to explore the impact of ADHD on the effect of speech therapy. Results Before speech treatment,there was no statistical significance in differences of PI between groups (F=1.046,P=0.375).After speech treatment,there was a statistical significance in differences of PI between groups (F=73.726,P<0.001).The results of Q test indicated that the PI of the FAD-I group and the FAD-C group were lower than the non-ADHD group,the differences were statistically significant (P<0.05); There was no statistical significance between the differences of the FAD-HI group and the FAD group (P>0.05).The PI of the FAD-HI group was lower than the FAD-I group and the FAD-C group,the differences were statistically significant (P<0.05). Conclusion The I and C subtype of ADHD may lower the speech therapy effect of the FAD patients obviously,but the HI subtype is not so obvious.Maybe when implementing the speech therapy,it also needs to take relevant treatment for ADHD at the same time.

Key words: attention deficit hyperactivity disorder, functional articulation disorders, speech therapy, child