中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
CHINESE JOURNAL OF MATERNAL AND CHILD HEALTH RESEARCH
2009年
4期
402-404
,共3页
宋文红%金春华%张建娜%王贺茹%张丽丽
宋文紅%金春華%張建娜%王賀茹%張麗麗
송문홍%금춘화%장건나%왕하여%장려려
注意缺陷多动障碍%亚型%行为特征%注意缺陷
註意缺陷多動障礙%亞型%行為特徵%註意缺陷
주의결함다동장애%아형%행위특정%주의결함
attention deficit hyperactivity disorder (ADHD)%subtype%behavioral characteristics%attention deficit
目的 了解6～11岁不同亚型单纯注意缺陷多动障碍男童的年龄、行为及注意力的差异.方法 对2006年1～10月期间首次就诊于首都儿科研究所附属儿童医院心理门诊,临床诊断为单纯注意缺陷多动障碍的6～11岁男童185例,依据美国<精神障碍诊断与统计手册>第4版标准诊断、分型,同时请家长采用Achenback儿童行为量表对儿童行为进行评定,注意力检查应用数字划消测验.结果 ①注意缺陷多动障碍中的注意缺陷为主型、多动冲动为主型、混合型所占比例分别为41.6%(77例)、7.0%(13例)和51.4%(95例),平均年龄分别为8.3±1.3岁、8.0±1.7岁和7.7±1.4岁.3种类型儿童年龄分布比较有统计学差异(χ2=7.185,P=0.028),其中注意缺陷为主型与混合型的年龄分布比较亦有统计学差异(χ2=7.354,P=0.007);②行为量表总分、外向分、外向因子多动、攻击、违纪得分在不同亚型儿童之间存在差异(F值分别为10.17、24.51、11.89、24.35、16.26,均P<0.01),其中注意缺陷为主型与混合型的总分、外向分、外向因子多动、攻击、违纪比较均有统计学差异(t分别为-4.50、-6.95、-4.86、-6.96、-5.67,均P<0.01);③不同亚型的数字划消测试失误率轻、中、重百分比无统计学差异.结论 6～11岁注意缺陷多动障碍男童中,注意缺陷的程度无明显差异,注意缺陷多动障碍混合型儿童比注意缺陷为主型儿童就诊较早,且比注意缺陷为主型儿童有更多的行为问题,尤其是外向性行为问题,故注意缺陷多动障碍混合型儿童更需综合干预.
目的 瞭解6～11歲不同亞型單純註意缺陷多動障礙男童的年齡、行為及註意力的差異.方法 對2006年1～10月期間首次就診于首都兒科研究所附屬兒童醫院心理門診,臨床診斷為單純註意缺陷多動障礙的6～11歲男童185例,依據美國<精神障礙診斷與統計手冊>第4版標準診斷、分型,同時請傢長採用Achenback兒童行為量錶對兒童行為進行評定,註意力檢查應用數字劃消測驗.結果 ①註意缺陷多動障礙中的註意缺陷為主型、多動遲動為主型、混閤型所佔比例分彆為41.6%(77例)、7.0%(13例)和51.4%(95例),平均年齡分彆為8.3±1.3歲、8.0±1.7歲和7.7±1.4歲.3種類型兒童年齡分佈比較有統計學差異(χ2=7.185,P=0.028),其中註意缺陷為主型與混閤型的年齡分佈比較亦有統計學差異(χ2=7.354,P=0.007);②行為量錶總分、外嚮分、外嚮因子多動、攻擊、違紀得分在不同亞型兒童之間存在差異(F值分彆為10.17、24.51、11.89、24.35、16.26,均P<0.01),其中註意缺陷為主型與混閤型的總分、外嚮分、外嚮因子多動、攻擊、違紀比較均有統計學差異(t分彆為-4.50、-6.95、-4.86、-6.96、-5.67,均P<0.01);③不同亞型的數字劃消測試失誤率輕、中、重百分比無統計學差異.結論 6～11歲註意缺陷多動障礙男童中,註意缺陷的程度無明顯差異,註意缺陷多動障礙混閤型兒童比註意缺陷為主型兒童就診較早,且比註意缺陷為主型兒童有更多的行為問題,尤其是外嚮性行為問題,故註意缺陷多動障礙混閤型兒童更需綜閤榦預.
목적 료해6～11세불동아형단순주의결함다동장애남동적년령、행위급주의력적차이.방법 대2006년1～10월기간수차취진우수도인과연구소부속인동의원심리문진,림상진단위단순주의결함다동장애적6～11세남동185례,의거미국<정신장애진단여통계수책>제4판표준진단、분형,동시청가장채용Achenback인동행위량표대인동행위진행평정,주의력검사응용수자화소측험.결과 ①주의결함다동장애중적주의결함위주형、다동충동위주형、혼합형소점비례분별위41.6%(77례)、7.0%(13례)화51.4%(95례),평균년령분별위8.3±1.3세、8.0±1.7세화7.7±1.4세.3충류형인동년령분포비교유통계학차이(χ2=7.185,P=0.028),기중주의결함위주형여혼합형적년령분포비교역유통계학차이(χ2=7.354,P=0.007);②행위량표총분、외향분、외향인자다동、공격、위기득분재불동아형인동지간존재차이(F치분별위10.17、24.51、11.89、24.35、16.26,균P<0.01),기중주의결함위주형여혼합형적총분、외향분、외향인자다동、공격、위기비교균유통계학차이(t분별위-4.50、-6.95、-4.86、-6.96、-5.67,균P<0.01);③불동아형적수자화소측시실오솔경、중、중백분비무통계학차이.결론 6～11세주의결함다동장애남동중,주의결함적정도무명현차이,주의결함다동장애혼합형인동비주의결함위주형인동취진교조,차비주의결함위주형인동유경다적행위문제,우기시외향성행위문제,고주의결함다동장애혼합형인동경수종합간예.
Objective To investigate differences in age, behavior and attention of boys with different subtypes of simple attention deficit hyperactivity disorder (ADHD) aged 6~11years. Methods 185 boys with a clinical diagnosis of simple ADHD ages 6~11 years who firstly referred to The Psychological Clinic of The Affiliated Children's Hospital of Capital Institute of Pediatrics over a period from January to October, 2006 were diagnozed and classified according to DSM-Ⅳ. At the same time, the boys' behaviors were assessed by using CBCL filled by their parents. The number cancellation test was used to examine the boy's of ADHD (ADHD-I, n=77 ), predominately hyperactive-impulsive type of ADHD (ADHD-HI, n=13) and combined type of ADHD (ADHD-C, n=95) were 41.6%, 7.0% and 51.4% respectively in order. The mean ages of boys with ADHD-I, ADHD-HI and ADHD-C were 8.3±1.3 years old, 8.0±1.7 years old and 7.7±1.4 years old respectively, and there was a significant difference between the three age groups in age distribution of boys with three types of ADHD (χ2=7.185,P=0.028 ), of which, between ADHD-I group and ADHD-C group there was a significant difference in age distribution of boys with ADHD-I and ADHD-C ( behavior problems, and scores in three extraversive factors: hyperactivity behavior, aggressive behavior and delinquent behavior, there were statistically significant differences between the three groups (F=10.17, 24.51, 11.89, 24.35, 16.26 respectively,all P<0.01). Of which, between ADHD-I and ADHD-C, there were significant differences in six sores of boys with ADHD (t=-4.50, -6.95, -4.86, severe missing rates in attention disorder test (ADT), there was no statistically significant difference between the three groups. Conclusion Among boys with ADHD aged 6~11 years, there is no significant difference in severity of attention deficit. Those boys with ADHD-C have more behavior problems, especially extraversive behaviors and see a docter earlier than those boys with ADHD-I. So, for this type of ADHD boys, more comprehensive interventions are needed.
