计算机辅助的执行功能训练对注意缺陷多动障碍患儿的干预研究

doi:10.11852/zgetbjzz2017-25-03-07

中国儿童保健杂志 ›› 2017, Vol. 25 ›› Issue (3): 237-241.DOI: 10.11852/zgetbjzz2017-25-03-07

计算机辅助的执行功能训练对注意缺陷多动障碍患儿的干预研究

李焱,江文庆,李梦瑶,杜亚松

上海交通大学医学院附属精神卫生中心,上海 200030

收稿日期:2016-09-08 发布日期:2017-03-15 出版日期:2017-03-15
通讯作者: 杜亚松,E-mailyasongdu@163.com.cn
作者简介:李焱(1987-),女,河南人,住院医师,硕士学位,主要研究方向为儿童心理健康与精神疾病。
基金资助:
国家自然科学基金面上项目(81271510);上海市科委引导类课题(15411967500)

Study on computerized executive function training on children with attention deficit hyperactivity disorder

LI Yan,JIANG Wen-qing,LI Meng-yao,DU Ya-song

Shanghai Mental Health Center,Shanghai Jiaotong University School of Medicine,Shanghai 200030,China

Received:2016-09-08 Online:2017-03-15 Published:2017-03-15
Contact: DU Ya-song,E-mailyasongdu@163.com

摘要/Abstract

摘要： 目的通过对注意缺陷多动障碍(ADHD)患儿进行计算机辅助执行功能训练,初步探讨计算机辅助训练对患儿症状及执行功能缺陷的改善情况。方法对56例ADHD患儿分别进行计算机训练及药物治疗,评估其执行功能指标及行为症状变化。结果计算机辅助训练后的执行功能指标有显著差异,训练后患儿的Stroop测验的乙表正确数、正确率有显著提高(P<0.001);WCST持续错误数减少,概念化水平和持续应答数得分提高(P<0.01);WISC-Ⅳ的背数、译码及符号检索得分均有提高(P<0.05);CANTAB-SWM的总间隔错误、间隔错误、SWM策略分及SOC移动次数得分减少(P<0.05));PSQ评估的ADHD相关行为问题(学习问题、多动指数因子)显著下降(P<0.05)。结论计算机训练可以改善ADHD患儿的执行功能缺陷,对核心症状也有部分改善,有望成为新的临床干预手段。

关键词: 注意缺陷多动障碍, 执行功能, 计算机训练, 药物治疗

Abstract: Objectives To explore whether benefit the deficits in executive functions (EF) and clinical behaviors by focusing on computer-based programs designed to train EF on children with attention deficit hyperactivity disorder (ADHD). Methods Totally 56 children with ADHD were received computerized executive function training and medication respectively,and evaluated the scores of neuropsychological tests and symptom scales at baseline and after training. Results After training,there were significant improvement in main domains of EF tests,including correct number and correct rate in test B of Stroop test(P<0.001),persistent error response,conceptual level and sustained response scores of WCST(P<0.01),the digital-span scores,coding and symbol-search scores of WISC-Ⅳ(P<0.05),SWM errors,interval errors,SWM strategy and SOC average mobile number (3) scores of CANTAB (P<0.05).The learning problems,hyperactive index scores of PSQ were decreased significantly(P<0.05). Conclusions Computer-based training can improve the executive function deficits in ADHD children,as well as the ADHD core symptoms.This training would become a new clinical intervention.

Key words: attention deficit hyperactivity disorder, executive function, computerized training, medication

中图分类号:

R179

李焱,江文庆,李梦瑶,杜亚松. 计算机辅助的执行功能训练对注意缺陷多动障碍患儿的干预研究[J]. 中国儿童保健杂志, 2017, 25(3): 237-241.

LI Yan,JIANG Wen-qing,LI Meng-yao,DU Ya-song. Study on computerized executive function training on children with attention deficit hyperactivity disorder[J]. journal1, 2017, 25(3): 237-241.

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计算机辅助的执行功能训练对注意缺陷多动障碍患儿的干预研究

Study on computerized executive function training on children with attention deficit hyperactivity disorder

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