混合型注意缺陷多动障碍儿童工作记忆特征的神经心理研究

中国儿童保健杂志 ›› 2011, Vol. 19 ›› Issue (3): 217-219.

混合型注意缺陷多动障碍儿童工作记忆特征的神经心理研究

徐桂凤¹,静进²,麦坚凝¹,杨文翰²,李春青¹,杨思渊¹

1 广州市妇女儿童医疗中心神经康复科,广东广州 510120;
2 中山大学公共卫生学院,广东广州 510080

收稿日期:2010-12-20 发布日期:2011-03-06 出版日期:2011-03-06
通讯作者: 静进,E-mail: jingjin@mail.sysu.edu.cn
作者简介:徐桂凤(1982-),女,安徽人,医师,硕士学位,主要从事儿童心理卫生
基金资助:
教育部高校博士点基金项目(20070558277);广州市医药卫生科技重大项目(2009-ZDa-04)

Neuropsychological investigation of working memory characteristics in children with attention deficit/hyperactivity disorder

XU Gui-feng¹, JING Jin², MAI Jian-ning¹, YANG Wen-han², LI Chun-qing¹, YANG Si-yuan¹

1 Children and Women's Medical Center, Guangzhou, Guangdong 510120, China;
2 Department of public Health, SUN Yat-Sen University, Guangzhou, Guangdong 510080, China

Received:2010-12-20 Online:2011-03-06 Published:2011-03-06

摘要/Abstract

摘要： 【目的】探索混合型注意缺陷多动障碍(attention deficit/hyperactivity disorder, ADHD)儿童语音工作记忆和视觉空间工作记忆的特征。【方法】采用威斯康星卡片分类测验(Wisconsin Card Sorting Test, WCST)、方块图敲击试验(tapping test)以及中国修订-韦氏儿童智力量表(C-WISC)对39名混合型ADHD儿童(男29例,女10例)和35名正常儿童(男26例,女9例)进行了测试分析。【结果】混合型ADHD儿童在WCST中的完成分类数和概念化水平明显低于对照组(P<0.05),完成第一个分类所需应答数、持续性应答数和坚持性错误数明显高于对照组(P<0.05),但两组的总正确率和不能维持完整分类数差异无统计学意义(P>0.05);在方块图敲击测试中的顺向答题数、顺向得分、逆向答题数以及逆向得分都明显低于对照组(P<0.05),且在C-WISC的算术及数字广度分测试中的得分也明显低于对照组(P<0.05)。【结论】混合型ADHD儿童存在执行功能缺陷,其语音工作记忆和视觉空间工作记忆均受到罹及。

关键词: 注意缺陷多动障碍, 威斯康星卡片分类测验, 敲击试验, 工作记忆

Abstract: 【Objective】 To probe the characteristics of visual-spatial and verbal working memory of children with attention deficit/hyperactivity disorder(ADHD). 【Methods】 39 children(29 boys and 10 girls) with ADHD and the 35 normal children(26 boys and 9 girls) were arranged with Wisconsin Card Sorting Test(WCST), tapping test and China Version-Wechsler Intelligence Scale for Children(C-WISC), then analyzed the results. 【Results】 In WCST, the ADHD group had obviously lower scores in categories control(CC) and conceptual level response(RFP)(P<0.05), and had significantly more preservation errors(PE) and more trials to complete the first category(RF)(P<0.05). In tapping test, the RD group got lower scores in the items of orthodromic click number, orthodromic click score, reverse click number, reverse click score(P<0.05). Besides, they also got lower scores in the arithmetic test and digital span task(P<0.05). 【Conclusions】 The executive function in ADHD children is significantly impaired, including the visual-spatial and verbal working memory.

Key words: attention deficit/hyperactivity disorder, WCST, tapping test, working memory

中图分类号:

R749.94

徐桂凤,静进,麦坚凝,杨文翰,李春青,杨思渊. 混合型注意缺陷多动障碍儿童工作记忆特征的神经心理研究[J]. 中国儿童保健杂志, 2011, 19(3): 217-219.

XU Gui-feng, JING Jin, MAI Jian-ning, YANG Wen-han, LI Chun-qing, YANG Si-yuan. Neuropsychological investigation of working memory characteristics in children with attention deficit/hyperactivity disorder[J]. journal1, 2011, 19(3): 217-219.

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