阈下ADHD症状小学生执行功能与前瞻记忆的关系

I. Zapesotskaya, Z. Chuikova
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摘要

本文介绍了阈下注意缺陷多动综合征(ADHD)小学生执行功能与前瞻记忆关系的研究结果。采用《ADHD评估量表- ICD-10标准》(Sukhotina, 2008)和《临床或学校学习期间ADHD行为记录观察表》(Carter, 1994)对ADHD症状进行评估。认知功能的评估采用威斯康星分类卡测试(Grant & Berg, 1948)、Сanum (Gutierrez-Martinez, 2018)、Вlock span (Isaacs, varga - khadem, 1989)、数字跨度向后(Wechsler, 1997)和Ana B. Cejudo (Cejudo, 2019)进行测量。51名儿童被招募,27名6-7岁,24名10岁。所有参与者分为2个对照组(典型发育儿童)和2个实验组(阈下ADHD症状儿童)。总的来说,我们发现6-7岁阈下ADHD症状组的儿童在执行功能的基础成分:工作记忆、认知灵活性和执行注意方面与对照组的儿童没有显著差异。然而,他们表现出学习能力、自我调节能力和非持续性错误的增加,以及基于事件的前瞻记忆的下降。有阈下ADHD症状的10岁儿童也表现出学习能力和前瞻记忆的下降。相关分析结果表明,阈下ADHD症状的受试者在系统功能水平上发生变化,表现为执行功能与前瞻记忆特征之间的联系减少。
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The Relationship Between Executive Functions and Prospective Memory in Primary School-Age Children with Symptoms of Subthreshold ADHD
The article presents results of the research of relations between executive functions and prospective memory in primary school-age children with symptoms of subthreshold attention deficit hyperactivity syndrome (ADHD). The ADHD Assessment Scale ― ICD-10 criteria (Sukhotina, 2008) and Observation Form for Recording ADHD Behaviors During Academic Performance in the Clinic or in School) (Carter, 1994) were used to assess the symptoms of ADHD. Cognitive functions were assessed using the Wisconsin Sorting Card Test (Grant & Berg, 1948), Сanum (Gutierrez-Martinez, 2018), Вlock span (Isaacs, Vargha-Khadem, 1989), Digit span-backward (Wechsler, 1997), and measurement by Ana B. Cejudo (Cejudo, 2019). 51 children were recruited, 27 subjects were 6–7 years old and 24 subjects were 10 years old. All participants were divided into 2 control groups (children with typical development) and 2 experimental groups (children with symptoms of subthreshold ADHD). Overall, it was found that children in the group of 6–7 years old with symptoms of subthreshold ADHD have no significant differences with children from the control group in basal components of executive function: working memory, cognitive flexibility and executive attention. However, they show a decrease in learning abilities, self-regulation and an increase of non-perseverative errors along with the fall of event-based prospective memory. Children in the group of 10 years old with symptoms of subthreshold ADHD also showed the fall of learning abilities and prospective memory. The results of correlation analysis show that subjects with symptoms of subthreshold ADHD have changes in the systemic ― functional level which appear as a decreasing amount of links between executive functions and features of prospective memory.
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