CAJ | 학술논문

背景:对于儿童注意缺陷多动障碍( attention deficiency and hyperactivity disorder,ADHD)的诊断和评估,多年来一直采用主观的量表评定法,如何用客观的检查手段进行更正确、合理的诊断,是近年来探索的一个课题.目的:探讨视听整合连续测试对在 ADHD儿童中的评估价值 ,以及客观、易量化的评估 ADHD的方法.设计:横断面研究.地点和对象:对 2003- 07/10在无锡市儿童医院心理行为门诊初诊的瑞文智商筛查正常,症状持续半年以上,疑似 ADHD的全部儿童 157例.干预:采用视听整合连续测试进行评估,分析被诊断为 ADHD儿童听、视觉注意能力的差异.主要观察指标:视听整合连续测试所得 18个商数指标.结果:反应控制商数与注意力商数结果提示:注意力缺陷的发病率高于自控力差、冲动的发病率,差异有显著性意义(χ 2=37.74,P《 0.01);在反应控制商数中,听觉的控制能力比视觉的控制能力差,差异有显著性意义(χ 2=14.68,P《 0.01);注意力商数中的听、视觉对比,差异无显著性意义(χ 2=3.56,P 》0.05).视听整合连续测试诊断为 ADHD的 96例儿童听觉的一致性( 68例)、警惕性( 66例)、注意力商数( 50例) 《 85分值的比例较高;视觉的警惕性( 58例)、速度商数( 61例) 《 85分值的比例较高,差异均有显著性意义(χ 2=6.75～ 22.81,P均《 0.01).结论:视听整合连续测试能较有效地全面地反应 ADHD儿童注意力、控制能力缺陷分布、程度,从而更正确地制订干预治疗方案,提高诊断治疗水平.
배경:대우인동주의결함다동장애( attention deficiency and hyperactivity disorder,ADHD)적진단화평고,다년래일직채용주관적량표평정법,여하용객관적검사수단진행경정학、합리적진단,시근년래탐색적일개과제.목적:탐토시은정합련속측시대재 ADHD인동중적평고개치 ,이급객관、역양화적평고 ADHD적방법.설계:횡단면연구.지점화대상:대 2003- 07/10재무석시인동의원심리행위문진초진적서문지상사사정상,증상지속반년이상,의사 ADHD적전부인동 157례.간예:채용시은정합련속측시진행평고,분석피진단위 ADHD인동은、시각주의능력적차이.주요관찰지표:시은정합련속측시소득 18개상수지표.결과:반응공제상수여주의력상수결과제시:주의력결함적발병솔고우자공력차、충동적발병솔,차이유현저성의의(χ 2=37.74,P《 0.01);재반응공제상수중,은각적공제능력비시각적공제능력차,차이유현저성의의(χ 2=14.68,P《 0.01);주의력상수중적은、시각대비,차이무현저성의의(χ 2=3.56,P 》0.05).시은정합련속측시진단위 ADHD적 96례인동은각적일치성( 68례)、경척성( 66례)、주의력상수( 50례) 《 85분치적비례교고;시각적경척성( 58례)、속도상수( 61례) 《 85분치적비례교고,차이균유현저성의의(χ 2=6.75～ 22.81,P균 《 0.01).결론:시은정합련속측시능교유효지전면지반응 ADHD인동주의력、공제능력결함분포、정도,종이경정학지제정간예치료방안,제고진단치료수평.
BACKGROUND:Subjective checklist test was applied in the diagnosis and assessment of attention deficiency and hyperactivity disorder(ADHD) in children over the past years.How to make a more accurate and reasonable diagnosis has been much explored recently. OBJECTIVE:To explore the value of audiovisual integration continuous test in child ADHD and more objective and quantitative method for ADHD. DESIGN:Cross-sectional study. SETTING and PARTICIPANTS:A total of 157 children with normal intelligence quotient and symptom duration over half a year were suspected as ADHD in the Psychology and Behavior Outpatient Department of Wuxi Children's Hospital from July 2003 to October 2003. INTERVENTIONS:Differences in auditory and visual attention ability of the children were assessed using audiovisual integration continuous test. MAIN OUTCOME MEASURES:Eighteen quotient indexes in audiovisual integration continuous test. RESULTS:Results of reaction-control and attention quotient showed that: the morbidity of attention deficiency was higher than that of poor control ability and impulse,with significant differences(χ 2=37.74,P< 0.01) .In reaction-control quotient,control ability of auditory sense was poorer than that of visual sense with significant differences(χ 2=14.68,P< 0.01) .There was no significant difference in attention quotient between auditory and visual senses(χ 2=3.56,P >0.05) .Proportion of auditory consistency(68 patients),vigilance(66 patients),and attention quotient(50 patients) < 85 in 96 patients of ADHD diagnosed by audiovisual integration continuous test was high;proportion of visual consistency(58 patients),speed quotient(61 patients)< 85 was high.Both had significant differences(χ 2=6.75- 22.81,P< 0.01) . CONCLUSION: Audiovisual integration continuous test can effectively and comprehensively present the distribution and extent of attention and control ability deficiency in ADHD children, which leads to accurate intervention projects and improvement of diagnosis and treatment.