中国儿童保健杂志 ›› 2013, Vol. 21 ›› Issue (9): 905-908.

• 科研论著 • 上一篇    下一篇

对注意缺陷多动障碍儿童智力特征的探讨

岑超群,邓红珠,陈凯云,梁亚勇,邹小兵   

  1. 中山大学附属第三医院儿童发育行为中心,广东 广州 510630
  • 收稿日期:2013-06-04 发布日期:2013-09-06 出版日期:2013-09-06
  • 作者简介:岑超群(1974-),女,主治医师,硕士学位,主要研究方向为儿童发育行为。
  • 基金资助:
    国家973计划(2012CB517901)

The intellectual characteristics of children with attention deficit hyperactivity disorder

CEN Chao-qun,DENG Hong-zhu,CHEN Kai-yun,LIANG Ya-yong,ZOU Xiao-bing   

  1. Child Developmental-Behavioral Center,the Third Affiliated Hospital of Sun Yat-Sen University,Guangzhou,Guangdong 510630,China
  • Received:2013-06-04 Online:2013-09-06 Published:2013-09-06

摘要: 目的 探讨注意力缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童的智力特征。方法 使用韦氏儿童智力量表对根据美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)诊断的154例6~14岁ADHD儿童进行智力测试,并与102名正常儿童比较。结果 ADHD儿童FIQ在70~129,其中智力超常0例(0.0%),高常6例(3.90%),平常112例(72.73%),边缘36例(23.37%);ADHD儿童的VIQ、PIQ和FIQ及Kaufman三个因子得分均较正常儿童低(P<0.01);在各分测验上ADHD儿童除“知识”外余10个测验得分均低于正常儿童(P<0.01);ADHD儿童和正常儿童FIQ和PIQ之间的差异均无统计学意义(P>0.01);ADHD儿童|VIQ-PIQ|差值>15者比例与正常儿童无显著性差异(P>0.01);ADHD儿童和正常儿童Kaufman3个因子得分之间的差异均无统计学意义(P>0.01)。 结论 ADHD儿童的智力水平低于正常儿童,但不存在言语智商和操作智商分离以及智力结构不平衡。

关键词: 注意缺陷多动障碍, 智力特征, 儿童

Abstract: Objective To explore the intellectual profiles of children with attention deficit hyperactivity disorder(ADHD). Methods Wechsler Intelligence Scale for Children-Chinese Edition(C-WISC) was used to examined the intelligence of 154 6~14-year-old children with ADHD diagnosed according to DSM-Ⅳ and 102 6~14-year-old typically developing children.Results The FIQ of children with ADHD was raged from 70~129,with none(0.0%)in very superior range,6(3.90%)in superior range,112(72.73%) in average range and 36(23.37%) in borderline range;The VIQ,PIQ and FIQ and scales on three Kaufman factors of children with ADHD were lower than those of typically developing children(P<0.01);Children with ADHD had lower scales than those of typically developing children on 10 subtests out of all 11 subtests(P<0.01);There was no statistically difference between VIQ and PIQ in both ADHD and typically developing children(P>0.01);The proportion of VIQ-PIQ discrepancy >15 in ADHD children was not statistically different from that in typically developing children(P>0.01);There were no statistically differences between scores on three Kaufman factors in both ADHD and typically developing children(P>0.01). Conclusion Children with ADHD generally have lower IQ than chose of typically developing children,but they show no differences in the structure of intelligence.

Key words: attention deficit hyperactivity disorder, intellectual characteristics, children

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