ADHD subtypes:: do they differ in their executive functioning profile?

ADHD subtypes:: do they differ in their executive functioning profile?
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DOI:
10.1016/j.acn.2004.11.001
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发表时间:
2005-06-01
影响因子:
2.6
通讯作者:
Sergeant, JA
Sergeant, JA
中科院分区:
心理学3区
文献类型:
--
作者:
Geurts, HM;Verté, S;Sergeant, JA

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本研究旨在探讨注意缺陷多动障碍合并亚型(ADHD-C)儿童具有一般执行功能(EF)的假设[Barkley,R.A.(1997)]。行为抑制、持续注意和执行功能:构建AD/HD的统一理论。《心理学公报》,121,65-94;巴克利,R.A.(1997)。多动症和自我控制的本质。纽约:The Guilford Press]。我们测试了ADHD-C和ADHD注意力不集中亚型(ADHD-I)在EF测量上是否可以区分开来。我们比较了16名发育正常的男孩和16名患有ADHD-C和16名ADHD-I的男孩在五个EF领域的表现。这些男孩在年龄、智商和对立违抗障碍(ODD)/品行障碍(CD)的存在方面都是匹配的。尽管经过仔细诊断的小组和方法控制,结果并不支持ADHD-C的EF假说。ADHD-C儿童在与抑制相关的任务上与正常对照组(NC)不同;他们在所有EF任务上都没有表现出EF缺陷。患有ADHD-C的儿童在非EF任务中也表现出缺陷。此外,ADHD-C和ADHD-I亚型之间没有区别。在研究的领域中,神经心理学的发现并没有为ADHD-C和ADHD-I亚型的独特性提供证据。(C)2004年国家神经心理学学会。爱思唯尔有限公司出版。保留所有权利。
The present study was designed to investigate the hypothesis that children with Attention Deficit Hyperactivity Disorder combined subtype (ADHD-C) have a generalized executive functioning (EF) [Barkley, R. A. (1997). Behavioural inhibition, sustained attention, and executive functions: Constructing a unifying theory of AD/HD. Psychological Bulletin, 121, 65-94; Barkley, R. A. (1997). ADHD and the nature of self-control. New York: The Guilford Press]. We tested whether ADHD-C and ADHD inattentive subtype (ADHD-I) can be differentiated from each other on EF measures. We compared 16 normally developing boys with 16 boys with ADHD-C and 16 with ADHD-I on five EF domains. The boys were all matched on age, IQ, and the presence of oppositional defiant disorder (ODD)/conduct disorder (CD). Despite carefully diagnosed groups and methodological controls, the results do not support the EF-hypothesis of ADHD-C. Children with ADHD-C differed from normal controls (NC) on tasks related to inhibition; they did not exhibit EF deficits on all EF tasks. Children with ADHD-C also exhibited deficits on non-EF tasks. Furthermore, the ADHD-C and ADHD-I subtypes did not differ from one another. Neuropsychological findings on the domains under study did not yield evidence for the distinctiveness of ADHD-C and ADHD-I subtypes. (c) 2004 National Academy of Neuropsychology. Published by Elsevier Ltd. All rights reserved.