上海精神医学
上海精神醫學
상해정신의학
SHANGHAI ARCHIVES OF PSYCHIATRY
2012年
4期
217-220
,共4页
背景 发育性协调运动障碍(developmental coordination disorder,DCD)患儿存在明显的运动能力、学习和日常生活能力的下降.国外研究表明,患儿的这些能力下降与其认知功能尤其是执行功能的受损有关,但国内尚无此类研究来证实这些结果.目的 比较发育性协调运动障碍患儿与正常儿童的执行功能.方法 对2008年3月至2010年3月在杭州市第七人民医院就诊并符合DSM-IV发育性协调运动障碍诊断的39例患儿采用威斯康星卡片分类测验(Wisconsin Card Sorting Test,WCST)进行评估.另外,在杭州某小学随机抽取39名健康儿童作为对照组,同样对他们进行WCST评估.结果 两组在WCST的总应答数及非持续错误数相似,但是研究组的错误应答数、持续性应答数和持续性错误数均显著高于对照组.另外,研究组患儿完成分类数低于对照组,完成第一个分类所需的应答数也高于对照组.结论 本研究证实了先前一些研究的结果,即发育性协调运动障碍患儿存在明显的执行功能缺陷.所有这些研究均提示,患儿的执行功能缺陷显著影响了其智能和社会功能的发展.
揹景 髮育性協調運動障礙(developmental coordination disorder,DCD)患兒存在明顯的運動能力、學習和日常生活能力的下降.國外研究錶明,患兒的這些能力下降與其認知功能尤其是執行功能的受損有關,但國內尚無此類研究來證實這些結果.目的 比較髮育性協調運動障礙患兒與正常兒童的執行功能.方法 對2008年3月至2010年3月在杭州市第七人民醫院就診併符閤DSM-IV髮育性協調運動障礙診斷的39例患兒採用威斯康星卡片分類測驗(Wisconsin Card Sorting Test,WCST)進行評估.另外,在杭州某小學隨機抽取39名健康兒童作為對照組,同樣對他們進行WCST評估.結果 兩組在WCST的總應答數及非持續錯誤數相似,但是研究組的錯誤應答數、持續性應答數和持續性錯誤數均顯著高于對照組.另外,研究組患兒完成分類數低于對照組,完成第一箇分類所需的應答數也高于對照組.結論 本研究證實瞭先前一些研究的結果,即髮育性協調運動障礙患兒存在明顯的執行功能缺陷.所有這些研究均提示,患兒的執行功能缺陷顯著影響瞭其智能和社會功能的髮展.
배경 발육성협조운동장애(developmental coordination disorder,DCD)환인존재명현적운동능력、학습화일상생활능력적하강.국외연구표명,환인적저사능력하강여기인지공능우기시집행공능적수손유관,단국내상무차류연구래증실저사결과.목적 비교발육성협조운동장애환인여정상인동적집행공능.방법 대2008년3월지2010년3월재항주시제칠인민의원취진병부합DSM-IV발육성협조운동장애진단적39례환인채용위사강성잡편분류측험(Wisconsin Card Sorting Test,WCST)진행평고.령외,재항주모소학수궤추취39명건강인동작위대조조,동양대타문진행WCST평고.결과 량조재WCST적총응답수급비지속착오수상사,단시연구조적착오응답수、지속성응답수화지속성착오수균현저고우대조조.령외,연구조환인완성분류수저우대조조,완성제일개분류소수적응답수야고우대조조.결론 본연구증실료선전일사연구적결과,즉발육성협조운동장애환인존재명현적집행공능결함.소유저사연구균제시,환인적집행공능결함현저영향료기지능화사회공능적발전.
Background: Children with developmental coordination disorder (DCD) have multiple impairments in movement, learning,and the activities of daily living. Studies from other countries have associated these impairments with cognitive function,particularly executive functioning, but these findings have not been confirmed in China.Aim: Compare the executive functioning of children with DCD with that of normal children.Methods: The Wisconsin Card Sorting Test (WCST) was administered to 39 children who met DSM-IV criteria of DCD identified at the Seventh People's Hospital of Hangzhou from March 2008 through March 2010. The WCST was also administered to a control group of 39 randomly selected children from one elementary school in Hangzhou.Results: The total responses on the WCST and the number of non-perseverative errors for cases and controls were similar,but cases had significantly more errors, more perseverative responses and more perseverative errors; moreover, they completed fewer categories than controls and required more trials to complete the first category.Conclusion: Our study confirms previous studies which show significantly impaired executive functioning in patients with DCD. Collectively, these studies suggest that the deficits in executive functioning of children with DCD significantly impair their intellectual and social development.
