摘要
目的:探讨高智商注意缺陷多动障碍(ADHD)男性儿童生态学执行功能特点。方法:对50名7～14岁符合美国精神障碍诊断与统计手册第4版(DSM-IV)诊断标准的高智商(总智商≥120)ADHD男性儿童与50名年龄匹配的高智商正常男性儿童、723名一般人群男性儿童对照,用执行功能行为评定量表父母版(BRIEF)进行测评生态学执行功能。结果:高智商ADHD组的BRIEF评分,经多重检验校正后,抑制、转换、感情控制、任务启动、工作记忆、计划、组织、监控8个因子,行为管理指数、元认知指数2个维度得分及总分均高于高智商正常对照组和一般人群对照组[总分,(150±22)vs.(108±20),(104±21),P'<0.05]。结论:本研究显示高智商ADHD男性患儿生态学执行功能在各层面均差于正常儿童。
Objective： To explore the ecological executive function profile in high intelligence quotient （IQ） boys with attention-deficit/hyperactivity disorder （ADHD）. Methods： Fifty male outpatients aged 7 - 14 were se- lected as the case group who were diagnosed as ADHD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition （DSM-IV） and with the full scale IQ （FIQ） ≥ 120 in Chinese-Wechsler Intelligence Scale for Children （C-WISC）. Fifty age-matched high IQ （FIQ≥ 120） normal boys were selected as the control group I. And 723 age-matched boys from the general population were selected as the control group II. All the sub- jects＇parents completed the Behavior Rating Inventory of Executive Function （BRIEF）. Results： Compared with the control group I and II, the high IQ ADHD group got significantly higher scores on all subscales of the BRIEF respectively （ P＇s 〈 0. 05）, including inhibition, shifting, emotion control, initiation, working memory, planning, organization, monitoring, behavioral regulation index （BRI）, metacognition index （MI） and global executive compos- ite （GEC） [ e. g., GEC, [ （ 150 ± 22） vs. （ 108 ±20）, （ 104 ± 21 ）, P＇ （P value after the multiple-testing correction） 〈 0. 001, respectively]. Conclusion： This study indicates that the high IQ boys with attention-deficit/hyperactivity disorder show significant impairments in all the aspects of ecological executive function.
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2012年第6期415-419,共5页
Chinese Mental Health Journal
基金
"十一五"国家科技支撑计划资助项目(2007BAI17B03)
卫生行业科研专项经费资助项目(200802073)
关键词
注意缺陷多动障碍
执行功能
高智商
生态学
横断面研究
attention-deficit/hyperactivity disorder
executive function
high intelligence quotient
ecolog- ical
cross-sectional studies
