注意缺陷/多动障碍和阅读障碍儿童的神经认知特征

Yaşar Tanır, B. G. Kılıç
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摘要

目的:本研究旨在通过神经认知测试检查ADHD和/或发展性阅读障碍(DD)儿童的神经认知缺陷。材料和方法:本研究的参与者包括申请安卡拉大学医学院儿童和青少年精神病学系诊断为阅读障碍(N=33), ADHD (N=32)和DD+ADHD (N=37)的儿童。对照组由30名7-11岁的小学生组成,他们的社会人口统计学数据相似。K-SADS-PL用于患者和对照组的DSM-5诊断。采用Stroop测验、线索制作测验、言语消除测验和韦氏儿童智力量表(WISC-R)对各组的认知功能进行详细评价。结果:与健康对照组相比,ADHD和/或阅读障碍儿童在所有神经认知测量方面均存在显著缺陷,如反应抑制、选择性注意、持续注意、转移注意和视觉空间短期记忆(p<0.001)。仅adhd儿童在反应抑制和视觉空间短期记忆测量中表现出最显著的弱点(p<0.001)。与对照组相比,共病组在几乎所有的神经认知测试中都表现出明显的弱点,但并没有明显低于纯adhd组和纯阅读障碍组。结论:ADHD和/或阅读障碍患儿存在多重神经认知缺陷,本研究支持多重认知缺陷假说。
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Neurocognitive Profile in Children with Attention Deficit/Hyperactivity Disorder and Dyslexia
Objective: The current study aimed to examine the neurocognitive deficits of children with ADHD and/or Developmental Dyslexia (DD) using neurocognitive tests. Material and Methods: The participants of the study consisted of children diagnosed with Dyslexia (N=33), ADHD (N=32), and DD+ADHD (N=37) who applied to the Department of Child and Adolescent Psychiatry, Faculty of Medicine, Ankara University. The control group consists of 30 primary school children aged 7-11 with similar sociodemographic data. K-SADS-PL is used for the DSM-5 diagnoses of the patients and the control group. Stroop Test, Trail Making Test, Verbal Cancellation Test, and Wechsler Intelligence Scale for Children-Revised (WISC-R) were used to evaluate the cognitive functions of the groups in detail. Results: Children with ADHD and/or Dyslexia were evaluated to have significant deficits in all neurocognitive measures such as reaction inhibition, selective attention, sustained attention, shifting attention, and visuospatial short-term memory compared to the healthy control group (p<0.001). Children with ADHD-only revealed the most significant weaknesses in reaction inhibition, and visuospatial short-term memory measures (p<0.001). The comorbid group exhibited significant weakness on almost all neurocognitive measures compared with the control group, but did not perform significantly lower than the ADHD-only and Dislexia-only groups. Conclusion: It has been shown that children with ADHD and/or Dyslexia have multiple neurocognitive deficits, and our study supports the multiple cognitive deficit hypothesis.
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