ADHD Predominantly Inattentive Subtype With High Sluggish Cognitive Tempo: A New Clinical Entity?
ADHD Predominantly Inattentive Subtype With High Sluggish Cognitive Tempo: A New Clinical Entity?
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DOI：
10.1177/1087054712445483
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发表时间：
2014-10-01
影响因子：
3
通讯作者：
Obiols, Jordi E.
中科院分区：
文献类型：
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作者：
Capdevila-Brophy, Connie;Artigas-Pallares, Josep;Obiols, Jordi E.
目的：作者调查了两组 ADHD 儿童的神经心理和行为特征的差异，其中一组主要是注意力不集中亚型 ADHD (PI) 和高认知速度迟缓 (SCT；n = 19)，另一组由其余样本组成（ADHD 混合亚型儿童和 PI 和低 SCT 分数儿童；n = 68）。方法：工具包括韦克斯勒儿童智力量表和发育神经心理学评估的子测试、康纳斯连续表现测试、执行功能行为评定量表和阿亨巴赫 6 至 18 岁儿童行为检查表。结果：与其他 ADHD 样本相比，SCT 较高的 PI 在持续注意力方面的问题较少，而内化问题、焦虑/抑郁、退缩/抑郁行为以及自我监控方面的执行问题较多。结论：本研究支持修订亚型标准，并进一步研究高 SCT 的 ADHD 构成一个单独的临床实体的假设。
Objective: The authors investigate differences in the neuropsychological and behavioral profiles of two groups of children with ADHD, one with predominantly inattentive subtype of ADHD (PI) and high sluggish cognitive tempo (SCT; n = 19) and another formed by the rest of the sample (children with ADHD combined subtype and children with PI and low SCT scores; n = 68). Method: Instruments included Wechsler Intelligence Scale for Children and subtests from Developmental Neuropsychological Assessment, Conners' Continuous Performance Test, Behavior Rating Inventory of Executive Function, and Achenbach's Child Behavior Checklist for ages 6 to 18. Results: PI with high SCT had fewer problems with sustained attention, and more internalizing problems, anxiety/depression, and withdrawn/depressed behavior, and more executive problems with self-monitoring than the rest of the ADHD sample. Conclusion: This study supports revising subtype's criteria and further studying the hypothesis that ADHD with high SCT constitutes a separate clinical entity.