儿童注意缺陷多动障碍伴阅读困难与感觉统合功能的相关性

doi:10.11852/zgetbjzz2023-0203

中国儿童保健杂志 ›› 2023, Vol. 31 ›› Issue (9): 1024-1027.DOI: 10.11852/zgetbjzz2023-0203

儿童注意缺陷多动障碍伴阅读困难与感觉统合功能的相关性

黄文献¹, 谭伟婷², 张姗红¹, 杨斌让¹

1.深圳市儿童医院儿童保健与心理健康中心,广东深圳 518038;
2.中国医科大学深圳市儿童医院

收稿日期:2023-03-17 修回日期:2023-07-03 发布日期:2023-08-31 出版日期:2023-09-10
通讯作者: 杨斌让,E-mail: ybinrang@126.com
作者简介:黄文献(1982-),女,广东人,副主任医师,硕士学位,主要研究方向为儿童发育行为。
基金资助:
广东省高水平医院建设专项经费资助(ynkt2021-zz47)

Association between sensory integration function and developmental dyslexia in children with attention deficit hyperactivity disorder

HUANG Wenxian¹, TAN Weiting², ZHANG Shanhong¹, YANG Binrang¹

1. Child Care and Mental Health Center,Shenzhen Children's Hospital, Shenzhen, Guangdong 518038,China 2. Shenzhen Children's Hospital, China Medical University

Received:2023-03-17 Revised:2023-07-03 Online:2023-09-10 Published:2023-08-31
Contact: YANG Binrang, E-mail:ybinrang@126.com

摘要/Abstract

摘要： 目的分析注意缺陷多动障碍(ADHD)伴阅读困难儿童的感觉统合功能及其与阅读困难的相关性,以期为改善ADHD儿童阅读能力、进行感觉统合训练提供新思路。方法 2019年6月—2021年6月于深圳市儿童医院儿童保健与心理健康中心就诊的ADHD儿童,随机选取345例,其中ADHD伴阅读障碍(共病组)274例,单纯ADHD组71例;同时选取深圳市中小学在读健康学生103例为对照组。采用单因素方差分析三组间感觉统合量表参数的差异;采用Pearson相关分析评价感觉统合评定分数与数字快速命名时间的相关性。结果共病组或单纯ADHD组的前庭平衡功能(37.2±1.5、39.0±1.7)、发育期运动功能(41.6±1.4、44.4±1.6)、视觉空间(45.9±1.5、48.5±1.7)、重力不安全症(40.0±1.3、42.1±1.5)、学习情绪状态和对压力挫折敏感(42.3±1.3、42.7±1.6)得分均低于正常对照组,两组间差异无统计学意义(P>0.05)。共病组的脑神经抑制功能(44.9±1.3)、触觉防御功能因子(48.9±1.3)得分低于单纯ADHD组(49.6±1.5,53.2±1.5),单纯ADHD组低于正常对照组(P<0.05)。2)共病组的数字快速命名时间与前庭平衡功能、视觉空间、触觉防御功能得分呈显著负相关(r=-0.201、-0.121、-0.126,P<0.05)。结论 ADHD儿童存在感觉统合功能失调,以共病组最显著,部分感觉统合因子与数字快速命名时间呈负相关。

关键词: 注意缺陷多动障碍, 发展性阅读障碍, 感觉统合功能

Abstract: Objective To analyze the association between sensory integration function and developmental dyslexia in children with attention deficit hyperactivity disorder, in order to privide new clues for improving reading ability and sensory integration function. Methods Totally 345 children diagnosed with ADHD in Shenzhen Children's Hospital from June 2019 to June 2021 were randomly selected, including 274 ADHD children comorbid DD, 71 children with ADHD only. Meanwhile, 103healthy children were selected into control group. One-way ANOVA was used to compare the score of the sensory integration function among the three groups. Pearson correlation analysis was used to evaluate the correlation between sensory integration scores and rapid automatized naming (RAN). Results 1) The scores of vestibular balance(37.2±1.5,39.0±1.7), developmental dyskinesia (41.6±1.4, 44.4±1.6), spatial orientation(45.9±1.5, 48.5±1.7), proprioception(40.0±1.3, 42.1±1.5)and emotional response(42.3±1.3, 42.7±1.6) in ADHD children with or without dyslexia were not significantly different(P>0.05), which both were lower than those in control group(P<0.05). The scores of neurophysiological inhibition of the brain(44.9±1.3), tactile defense(48.9±1.3) in the comorbid group were lower than those in children with ADHD (49.6±1.5, 53.2±1.5), which were significantly lower in ADHD group than that in control group (P<0.05). 2) The score of rapid automatized naming was negatively related to vestibular balance, spatial orientation and tactile defense in the comorbid group (r=-0.201、 -0.121、-0.126, P<0.05). Conclusion Children with ADHD often have sensory integration dysfunction, most significantly in the children with ADHD comorbid DD, and some sensory integration indexes are negatively correlated with RAN.

Key words: attention deficit/hyperactivity disorder, developmental dyslexia, sensory integration function

中图分类号:

R749.94

黄文献, 谭伟婷, 张姗红, 杨斌让. 儿童注意缺陷多动障碍伴阅读困难与感觉统合功能的相关性[J]. 中国儿童保健杂志, 2023, 31(9): 1024-1027.

HUANG Wenxian, TAN Weiting, ZHANG Shanhong, YANG Binrang. Association between sensory integration function and developmental dyslexia in children with attention deficit hyperactivity disorder[J]. Chinese Journal of Child Health Care, 2023, 31(9): 1024-1027.

参考文献

[1] Kilroy E, Aziz-Zadeh L,Cermak S. Ayres theories of autism and sensory integration revisited:What contemporary neuroscience has to say[J]. Brain Sci,2019,9(3):68.
[2] Mazor-Karsenty T,Parush S,Shalev L. Sustained attention in sensory modulation disorder and attention deficit/hyperactivity disorder[J]. Res Dev Disabil,2019,88:22-29.
[3] Li J,Wang WC,Cheng J, et al. Relationships between sensory integration and the core symptoms of attention-deficit/hyperactivity disorder:The mediating effect of executive function[J]. Eur Child Adolesc Psychiatry,2022.doi:10.1007/S00787-022-02069-5.
[4] 王久菊,孙黎,舒华,等. 注意缺陷多动障碍共患阅读障碍:认知-脑-基因的多维度研究进展[J].生物化学与生物物理进展,2020,47(11):1135-1144.
Wang JJ,Sun L,Shu H,et al. The multi dimension research progress in attention deficit/hyperactivity disorder comorbidity with dyslexia:From gene, brain to behavior[J]. Progress in Biochemistry and Biophysics,2020,47(11):1135-1144.(in Chinese)
[5] Kaufman J,Birmaher B,Brent D,et al. Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL):Initial reliability and validity data[J]. J Am Acad Child Adolesc Psychiatry,1997,36(7):980-988.
[6] 王久菊,孟祥芝,李虹等. 汉语发展性阅读障碍诊断与干预的专家意见[J].中国心理卫生杂志,2023,37(3):185-191.
Wang JJ,Meng XZ,Li H,et al. Expert advice on the diagnosis and intervention of Chinese developmental dyslexia[J]. Chinese Mental Health Journal, 2023,37(3):185-191.(in Chinese)
[7] Zhang Y,Zhang L,Shu H,et al. Universality of categorical perception deficit in developmental dyslexia:An investigation of Mandarin Chinese tones[J]. J Child Psychol Psychiatry,2012,53(8):874-82.
[8] Assayag N,Berger I,Parush S,et al. Attention-deficit/hyperactivity disorder symptoms, sensation-seeking, and sensory modulation dysfunction in substance use disorder:A cross sectional two-group comparative study[J]. Int J Environ Res Public Health,2022,19(5):2541.
[9] 任园春,王玉凤. 伴与不伴前庭功能失调的注意缺陷多动障碍患儿临床特点的对照研究[J]. 中华精神科杂志,2004,37(3):136-139.
Ren YC,Wang YF. Clinical characters of attention deficit hyperactivity disorder children with and without vestibular dysfunction:A case-control study[J]. Chinese J Psychiatry,2004,37(3):136-139.(in Chinese)
[10] Wu ZM,Bralten J,Cao QJ,et al. White matter microstructural alterations in children with ADHD:Categorical and dimensional perspectives[J]. Neuropsychopharmacology,2017,42(2):572-580.
[11] Dionne-Dostie E,Paquette N,Lassonde M,et al. Multisensory integration and child neurodevelopment[J]. Brain Sci,2015,5(1):32-57.
[12] 岳鑫鑫,王天姿,姚贵忠,等. 注意缺陷多动障碍共病阅读障碍的治疗方法研究进展[J]. 中华精神科杂志,2019,52(1):98-101.
Yue XX,Wang TZ,Yao GZ,et al. Research progress on the treatment of attention deficit/hyperactivity disorder comorbidity with dyslexia[J]. Chinese Journal of Psychiatry,2019,52(1):98-101.(in Chinese)
[13] Gu CY,Bi HY. Auditory processing deficit in individuals with dyslexia[J]:A meta-analysis of mismatch negativity[J].Neurosci Biobehav Rev,2020,116:396-405.
[14] Majeed NM,Hartanto A,Tan J. Developmental dyslexia and creativity:A meta-analysis[J]. Dyslexia,2021,27(2):187-203.
[15] Li X,Hu M,Liang H. The percentages of cognitive skillsdeficits among Chinese children with developmental dyslexia:A systematic review and meta-analysis[J]. Brain Sci,2022,12(5):548.doi:10.3390/brainsci12050548.

儿童注意缺陷多动障碍伴阅读困难与感觉统合功能的相关性

Association between sensory integration function and developmental dyslexia in children with attention deficit hyperactivity disorder

PDF

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	陈立. 儿童期复杂注意缺陷多动障碍的评估与治疗[J]. 中国儿童保健杂志, 2023, 31(9): 935-938.
[2]	熊萍, 朱红敏, 黄馨, 吴静, 林晶, 钟严艳. 离子型谷氨酸受体基因遗传变异与儿童注意缺陷多动障碍关联性研究[J]. 中国儿童保健杂志, 2023, 31(9): 945-950.
[3]	朱佩滢, 储莉婷, 马晨欢, 潘丽珠, 郭乃绮, 陆丁杰, 王瑜. 社交技能教育与促进项目对学龄期注意缺陷多动障碍儿童的干预效果[J]. 中国儿童保健杂志, 2023, 31(9): 951-956.
[4]	高丽茹, 秦一铭, 屈智勇. 基于父母行为训练小组的循证疗法缓解儿童外化行为问题症状的随机对照试验[J]. 中国儿童保健杂志, 2023, 31(9): 957-962.
[5]	郑杰, 陈燕惠. 注意缺陷多动障碍与肠道微生物群的研究进展[J]. 中国儿童保健杂志, 2023, 31(9): 986-989.
[6]	靳镇坤, 张功. 注意缺陷多动障碍和校园欺凌[J]. 中国儿童保健杂志, 2023, 31(9): 990-995.
[7]	宋以玲, 范碧瑶, 白啸天, 于洪军. 运动干预对注意缺陷多动障碍儿童青少年执行功能影响的Meta分析[J]. 中国儿童保健杂志, 2023, 31(9): 1010-1016.
[8]	张瑜, 杨元魁, 郭婧, 谢凡, 袁晓芳, 封景文, 张一. 注意缺陷多动障碍学龄儿童执行功能与行为问题的相关性[J]. 中国儿童保健杂志, 2023, 31(9): 1017-1023.
[9]	王艺诺, 徐玉英, 张玺, 安子芬, 余立平. 家庭养育环境对学龄前注意缺陷多动障碍儿童发展影响的研究进展[J]. 中国儿童保健杂志, 2023, 31(8): 864-867.
[10]	孔德华, 张功. 运动干预对注意缺陷多动障碍儿童脑执行功能影响的神经影像学研究进展[J]. 中国儿童保健杂志, 2023, 31(8): 879-883.
[11]	李荣, 李年, 吴丹丹, 黄荣, 陈银花. 盐酸哌甲酯缓释片对注意缺陷多动障碍儿童生长的影响[J]. 中国儿童保健杂志, 2023, 31(7): 731-735.
[12]	张婕, 安英萍, 杨毅, 张艳楠, 田琳. 从全生命周期视角识别和治疗注意缺陷多动障碍女童和女性的专家共识(2020年版)解读[J]. 中国儿童保健杂志, 2023, 31(5): 570-575.
[13]	易文霞, 陈立. 注意缺陷多动障碍儿童父母养育压力研究进展[J]. 中国儿童保健杂志, 2023, 31(4): 408-411.
[14]	刘芮卓, 陈立. 儿童注意缺陷多动障碍与肥胖的相关性研究[J]. 中国儿童保健杂志, 2023, 31(4): 412-415.
[15]	朱笑彤, 任园春, 刘靖, 李雪, 王芳, 尹婷妮, 谢永涛, 宋懿芪, 范碧瑶, 吉宁. 注意缺陷多动障碍小学生精细动作发展特点研究[J]. 中国儿童保健杂志, 2023, 31(3): 322-326.