Cognitive and Adaptive Skill Profile Differences in Children With Attention-Deficit Hyperactivity Disorder With and Without Comorbid Fetal Alcohol Spectrum Disorder
Cognitive and Adaptive Skill Profile Differences in Children With Attention-Deficit Hyperactivity Disorder With and Without Comorbid Fetal Alcohol Spectrum Disorder
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DOI：
10.1080/21622965.2013.877392
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发表时间：
2015-10-02
影响因子：
1.7
通讯作者：
Gelder, Barbara C.
中科院分区：
文献类型：
--
作者：
Boseck, Justin J.;Davis, Andrew S.;Gelder, Barbara C.
患有胎儿酒精谱系障碍（FASD）的儿童通常会出现共病的注意缺陷多动障碍（ADHD），这可能会使诊断和治疗计划复杂化。本研究调查了81名ADHD/FASD儿童和147名ADHD儿童的认知和适应能力。多变量方差分析和后续判别分析表明，两组有类似的配置文件的韦氏儿童智力量表第四版和葡萄园适应行为量表，虽然患有ADHD/FASD共病的儿童表现出更明显的损害，在言语能力，知觉推理，工作记忆，处理速度，和整体适应能力。结果表明，与单独患有ADHD的儿童相比，患有ADHD/FASD的儿童表现出明显更多的认知处理和适应技能缺陷，这些缺陷对于学校的成功和健康的社会，行为和情感功能至关重要。对这些群体的情况进行评估的研究可能有助于更早和更准确地诊断和干预。
Children with fetal alcohol spectrum disorder (FASD) often present with comorbid attention-deficit hyperactivity disorder (ADHD), which can complicate diagnosis and treatment planning. This study investigated the cognitive and adaptive profiles of 81 children with ADHD/FASD and 147 children with ADHD. Multivariate analysis of variance and follow-up discriminant analysis indicated that the two groups had similar profiles on the Wechsler Intelligence Scale for Children-Fourth Edition and Vineland Adaptive Behavior Scales, although the children with comorbid ADHD/FASD demonstrated significantly more impairment in verbal ability, perceptual reasoning, working memory, processing speed, and overall adaptive skills. The results suggested that when compared with children with ADHD alone, children with ADHD/FASD exhibit significantly more impaired cognitive processing and adaptive skill deficits that are essential for school success and healthy social, behavioral, and emotional functioning. Research evaluating the profiles of these groups is likely to facilitate earlier and more accurate diagnosis and intervention.