摘要
目的:探讨注意缺陷多动障碍(ADHD)儿童不同亚型的个性和注意力缺陷多动的临床特征。方法:采用视听整合持续操作测验(IVA-CPT)和艾森克个性问卷(EPQ)对278例ADHD儿童的3个亚型(ADHD-I、ADHD-HI和ADHD-C)进行个性特征和注意力缺陷多动特征分析。结果:ADHD患儿N维度量表T分在3个亚型间差异有统计学意义(P<0.05),ADHD-C型患儿得分高于ADHD-I型。个性构成分析发现,ADHD-C型患儿情绪不稳定的个性构成人数大于ADHD-I型和ADHD-HI型,差异有统计学意义(P<0.05)。ADHD-C型的综合控制力商数、综合注意力商数、听觉和视觉注意力商数、听觉和视觉谨慎商数、听觉一致性商数、听觉注意集中商数、听觉和视觉警醒商数、视觉毅力商数与ADHD-I型和/或ADHD-HI型比较其差异均有统计学意义(P<0.05)。结论:ADHD-C型患儿情绪不稳定、敏感多疑、缺乏自尊自信的个性特征明显,并存在反应控制力和持续性注意力的损害,应根据不同亚型患儿的临床特点制定更有针对性的心理治疗方案。
Objective:To investigate personality and attention hyperactivity clinical features in children with different clinical subtypes of attention deficit hyperactivity disorder(ADHD).Methods:A total of 278 children with different clinical subtypes of ADHD children(ADHD-I,ADHD-HI and ADHD-C) were analyzed for personality traits and inattention hyperactivity clinical features by using Integrated Visual and Auditory Continuous Performance Test(IVA-CPT) and Eysenck Personality Questionnaire(EPQ).Results:There was a statistically significant difference in dimension scale T points for 3 subtypes ADHD children(P0.05),children of ADHD-C score was higher than that of ADHD-I.The proportion of instability in ADHD-C children was higher than that of ADHD-I and ADHD-HI,respectively(P0.01,P0.05).There were significant differences in Full Scale Response Quotient,Full Scale Attention Quotient,the Auditory Stamina Quotient,Auditory Consistency and Auditory Focus Quotient,Auditory and visual alert quotient between children with ADHD-C and ADHD-I and/or ADHD-HI.Conclusion:There are obvious of personality in emotion instability and sensitive suspicious and a lack of self-esteem,self-confidence in ADHD-C children,and impaired control response and sustained attention.More specific psychological treatment should be applied to children with different personality characteristics.
出处
《中国妇幼保健》
CAS
北大核心
2013年第20期3285-3287,共3页
Maternal and Child Health Care of China
关键词
注意缺陷多动障碍
视听整合持续操作测验
艾森克个性问卷
Attention deficit hyperactivity disorder
Integrated Visual and Auditory Continuous Performance Test
Eysenck Personality Questionnaire