journal1 ›› 2019, Vol. 27 ›› Issue (5): 469-472.DOI: 10.11852/zgetbjzz2019-0197

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Executive function deficits in children with tic disorders

YI Ming-ji   

  1. Department of Child Health Care,the Affiliated Hospital of Qingdao University,Qingdao,Shandong 266003,China
  • Received:2019-02-11 Online:2019-05-10 Published:2019-05-10

抽动障碍患儿的执行功能缺陷

衣明纪   

  1. 青岛大学附属医院儿童保健科,山东 青岛 266003
  • 作者简介:衣明纪(1966-),男,主任医师,硕士生导师,主要研究方向为儿童抽动障碍。
  • 基金资助:
    国家自然科学基金项目(81371499)

Abstract: Many components of executive functions are impaired in children suffering from tic disorders(TD),including working memory ability declines,difficulty in sustained attention,response inhibition,cognitive flexibility,thought organization,planning ability,social ability,comprehension of nonliteral language.Comorbid conditions of TD such as attention-deficit/hyperactivity disorder(ADHD),obsessive-compulsive disorder(OCD),autism spectrum disorder(ASD) will worsen executive functions deficits.There are significant correlations between tic severity and some executive functions deficits.Intact executive function development is related to remission processes of tic symptoms.Improvement of executive function may reduce severity of tic symptoms.

Key words: tic disorders, executive functions, attention-deficit/hyperactivity disorder

摘要: 抽动障碍(TD)患儿执行功能的多种成分存在缺陷,表现在工作记忆能力下降,持续性注意和反应抑制、认知灵活性、思维组织性、计划性等方面存在障碍,非语言能力和社交功能损害等。TD患儿如果伴有注意缺陷多动障碍(ADHD)、强迫障碍(OCD)以及孤独症谱系障碍(ASD)等共患病,其执行功能缺陷常常更严重。TD患儿执行功能的某些缺陷与其抽动症状的严重性相关,完整的执行功能发展与抽动症状的缓解过程有关,通过改善TD患儿的执行功能缺陷可以间接地减少TD患儿的抽动症状。

关键词: 抽动障碍, 执行功能, 注意缺陷多动障碍

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