摘要
目的探讨注意缺陷多动障碍(ADHD)核心症状对ADHD倾向儿童行为问题的影响,为早期识别ADHD患儿并进行有针对性的干预提供参考。方法于2021年7月-8月,在广州市某小学筛选25名ADHD倾向儿童作为ADHD倾向组,纳入年龄、性别和年级相匹配的25名儿童作为正常组。采用中文版ADHD斯诺佩评估量表第4版(SNAP-IV)父母版评定ADHD核心症状,采用儿童困难问卷(QCD)和Conners父母症状问卷(PSQ)评定行为问题。采用Spearman相关分析考察ADHD核心症状与QCD和PSQ评分的相关性,采用分层线性回归分析探讨ADHD核心症状对行为问题的影响。结果①组间差异显示,ADHD倾向组的注意缺陷和多动-冲动因子评分均高于正常组(t=7.771、6.726,P均<0.01)。②相关分析显示,注意缺陷因子评分与QCD总评分呈负相关(r=-0.440,P<0.05),与PSQ的学习问题因子评分呈正相关(r=0.457,P<0.05);多动-冲动因子评分与PSQ的焦虑因子评分呈负相关(r=-0.457,P<0.05),与PSQ的冲动-多动因子评分呈正相关(r=0.552,P<0.01)。③分层线性回归分析显示,注意缺陷因子评分可负向预测QCD总评分(B=-0.682,P<0.05,R^(2)=0.468);多动-冲动因子评分对PSQ的焦虑因子评分具有负向预测作用(B=-0.048,P<0.05,R^(2)=0.367),对PSQ的冲动-多动因子评分具有正向预测作用(B=0.077,P<0.01,R^(2)=0.424)。结论ADHD倾向儿童存在明显的注意缺陷症状、多动-冲动症状及行为问题,且注意缺陷症状可能是其日常行为问题的主要原因,多动-冲动症状可能是其冲动-多动行为问题的主要原因。
Objective To explore the influence of the core symptoms of attention deficit hyperactivity disorder(ADHD)on behavioral problems of children with ADHD propensity,so as to provide references for early identification and targeted intervention for children with ADHD propensity.Methods From July to August 2021,25 children with ADHD propensity were screened as the ADHD propensity group,and 25 children matched for age,gender and grade were included as the normal group in an elementary school in Guangzhou.ADHD core symptoms were assessed by the Chinese version of the Swanson Nolan and Pelham,version IV-parent form for ADHD(SNAP-IV),and behavioral problems were assessed by Questionnaire-Children with Difficulties(QCD)and Conners Parental Symptom Questionnaire(PSQ).Spearman correlation analysis was used to examine the correlation between ADHD core symptoms and QCD and PSQ scores,and hierarchical linear regression analysis was used to explore the effect of ADHD core symptoms on behavioral problems.Results①The differences between the groups showed that both attention deficit and hyperactivity-impulsivity factor scores were higher in the ADHD propensity group than those in the normal group(t=7.771,6.726,P<0.01).②Correlation analysis showed that the attention deficit factor score was negatively correlated with QCD total score(r=-0.440,P<0.05),and positively correlated with the learning problem factor score of PSQ(r=0.457,P<0.05).The score of hyperactivity-impulsivity was negatively correlated with score of anxiety factor in PSQ(r=-0.457,P<0.05),and positively correlated with impulse-hyperactivity factor score(r=0.552,P<0.01).③Hierarchical linear regression analysis showed that the attention deficit factor score negatively predicted the total score of QCD(B=-0.682,P<0.05,R^(2)=0.468).The hyperactivity impulsivity factor score had a negative predictive effect on the anxiety factor score of PSQ(B=-0.048,P<0.05,R^(2)=0.367),and had a positive predictive effect on the impulsivity-hyperactivity factor score(B=0.077,P<0.01,R^(2
作者
欧子欣
杨翠盈
付彤
杨乐天
彭君媛
党彩萍
杨婵娟
程道猛
尚鹤睿
洪丹萍
殷炜珍
Ou Zixin;Yang Cuiying;Fu Tong;Yang Letian;Peng Junyuan;Dang Caiping;Yang Chanjuan;Cheng Daomeng;Shang Herui;Hong Danping;Yin Weizhen(Department of Applied Psychology,Guangzhou Medical University,Guangzhou 511436,China;The Affiliated Brain Hospital of Guangzhou Medical University,Guangzhou 510370,China)
出处
《四川精神卫生》
2022年第6期518-523,共6页
Sichuan Mental Health
基金
国家重点研发计划(项目名称:注意缺陷多动障碍的综合干预策略研究,项目编号:2016YFC1306100)
广州医科大学2021年度校级质量工程项目(项目名称:大学生社会实践项目,项目编号:01-408-2201054)
广州医科大学高水平大学建设项目(项目编号:02-410-B205001186)。
关键词
注意缺陷多动障碍
ADHD倾向
行为问题
注意缺陷
Attention deficit hyperactivity disorder
ADHD propensity
Behavioral problems
Attention deficit
