CAJ | 학술논문

目的：调查注意缺陷多动障碍儿童社会功能状态，以及与注意缺陷多动障碍核心症状的相关性。方法：选择2012年1月-2012年12月期间，因注意力不集中或好动等症状，被温州市某医院疑诊为注意缺陷多动障碍的641例初诊患儿作为调查对象，按照DSM-IV ADHD诊断标准评估，符合诊断标准者纳入注意缺陷多动障碍组，不满足诊断标准者纳入非注意缺陷多动障碍组。采用SNAP-IV评价注意缺陷多动障碍患儿核心症状严重程度，采用Weiss功能缺陷量表评价注意缺陷多动障碍社会功能，比较注意缺陷多动障碍组与非注意缺陷多动障碍组社会功能状态，并对注意缺陷多动障碍核心症状与社会功能进行相关性分析。结果：注意缺陷多动障碍组在家庭、学习/学校、生活技能、自我观念、社会活动、冒险活动等维度的社会功能，均明显低于非注意缺陷多动障碍组，两组差异均有统计学意义（ P＜0．001）；不同性别注意缺陷多动障碍儿童各维度的社会功能，无统计学差异（P＞0．05）；注意力缺陷症状群评分与注意缺陷多动障碍各维度社会功能均有不同程度的相关；多动冲动症状群评分与家庭、社会活动、冒险活动相关。结论：注意缺陷多动障碍儿童存在社会功能缺陷，其核心症状与社会功能存在相关性。
목적：조사주의결함다동장애인동사회공능상태，이급여주의결함다동장애핵심증상적상관성。방법：선택2012년1월-2012년12월기간，인주의력불집중혹호동등증상，피온주시모의원의진위주의결함다동장애적641례초진환인작위조사대상，안조DSM-IV ADHD진단표준평고，부합진단표준자납입주의결함다동장애조，불만족진단표준자납입비주의결함다동장애조。채용SNAP-IV평개주의결함다동장애환인핵심증상엄중정도，채용Weiss공능결함량표평개주의결함다동장애사회공능，비교주의결함다동장애조여비주의결함다동장애조사회공능상태，병대주의결함다동장애핵심증상여사회공능진행상관성분석。결과：주의결함다동장애조재가정、학습/학교、생활기능、자아관념、사회활동、모험활동등유도적사회공능，균명현저우비주의결함다동장애조，량조차이균유통계학의의（ P＜0．001）；불동성별주의결함다동장애인동각유도적사회공능，무통계학차이（P＞0．05）；주의력결함증상군평분여주의결함다동장애각유도사회공능균유불동정도적상관；다동충동증상군평분여가정、사회활동、모험활동상관。결론：주의결함다동장애인동존재사회공능결함，기핵심증상여사회공능존재상관성。
Objective: To investigate the social function in Attention Deficit Hyperactivity Disorder (ADHD) children and study the correla-tion between ADHD core symptoms and social function.Methods: A total of 641 children with clinically suspected ADHD were interviewed and investigated from January to December in 2012 in Wenzhou.ADHD group was diagnosed according to DSM -IV criteria for ADHD and unim-paired children who did not meet the diagnostic criteria as the non-ADHD group.Severity of ADHD core symptoms were evaluated by Nolan , and Pelham, version IV (SNAP-IV) scale.Social function of ADHD children was evaluated by Weiss functional impairment rating scale -par-ent report(WFIRS-P)and analyze its correlation with ADHD core symptoms.Results: ADHD children had deficits in 6 dimensions of social function including family, school, life skills, child's self -concept, social activities, risky activities.There was significant difference between ADHD group and non-ADHD group(P<0.001), but there was no significant difference in the social function of deferent ADHD genders.There was a significant correlation between attention deficit symptoms and 6 dimensions of social function.While, dimensions of family, social activities, risky activities had significant correlation with hyperactivity symptoms separately.Conclusion:ADHD children has deficits in social function.So-cial function has correlation with ADHD core symptoms.