Impulsivity in depressed children and adolescents: A comparison between behavioral and neuropsychological data

Impulsivity in depressed children and adolescents: A comparison between behavioral and neuropsychological data
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DOI:
10.1016/j.psychres.2004.12.012
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发表时间:
2005-09-15
影响因子:
11.3
通讯作者:
Molteni, M
Molteni, M
中科院分区:
医学2区
文献类型:
--
作者:
Cataldo, MG;Nobile, M;Molteni, M

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在未接受药物治疗的抑郁儿童和青少年样本中研究了神经心理和行为层面的冲动。将 21 名当前诊断为情绪障碍的患者与 21 名正常对照者进行与冲动相关的执行功能测试(熟悉数字匹配测试、连续表现测试、言语流利度、斯特鲁普测试和走-不走)以及康纳斯家长评定量表中的冲动/不安行为测试的表现进行比较。抑郁的儿童和青少年表现出保守的反应风格模式,反应时间缓慢和注意力问题,与成人中观察到的情况类似,并且在流利度测试中普遍延迟/启动反应困难。抑郁的参与者被父母评为比对照组明显更冲动/不安。然而,没有证据表明在更冲动/不安的患者中存在冲动认知反应风格。还考虑了症状严重程度(汉密尔顿抑郁量表)和主观情绪状态(儿童抑郁量表)。 (c) 2005 Elsevier Ireland Ltd. 保留所有权利。
Impulsivity at the neuropsychological and behavioral levels was investigated in a sample of drug-naive depressed children and adolescents. The performance of 21 patients with a current diagnosis of mood disorder was compared with that of 21 normal controls on tests of executive functions related to impulsivity (Matching Familiar Figures Test, Continuous Performance Test, Verbal Fluency, Stroop Test, and Walk-Don't Walk) and on impulsive/restless behavior on the Conners' Parent Rating Scale. Depressed children and adolescents showed a pattern of conservative response style, with slow reaction times and attentional problems, similar to that observed in adults, and a general delay/difficulty in response initiation on the Fluency Test. Depressed participants were rated by their parents as being significantly more impulsive/restless than controls. However, there was no evidence of an impulsive cognitive response style in more impulsive/restless patients. Symptom severity (Hamilton Rating Scale for Depression) and subjective mood state (Children's Depression Inventory) were also taken into account. (c) 2005 Elsevier Ireland Ltd. All rights reserved.