CAJ | 학술논문

目的：探讨注意缺陷多动障碍（ ADHD）患儿注意抑制功能及其危险因素。方法：对107例ADHD儿童及与其人口学资料相匹配的213名健康儿童进行持续注意检测，并对两组人口学相关指标进行比较。结果：ADHD组持续注意检测中不该反应时反应的错误数[（3.51±1.48）个]显著高于对照组[（2.93±1.58）个]（t＝3.161，P＝0.002）；人口学及家庭资料比较发现ADHD组患儿剖腹产、精神疾病家族史阳性、父亲性格或父母性格内向、家庭教育方式不当等均明显多于对照组（ P均﹤0.05）。Logistic 回归分析显示父母的性格内向、精神疾病家族史阳性、批评为主的教育方式是儿童ADHD的危险因素。结论：ADHD儿童存在注意抑制功能下降；家庭环境因素可能是ADHD发生的重要因素。
목적：탐토주의결함다동장애（ ADHD）환인주의억제공능급기위험인소。방법：대107례ADHD인동급여기인구학자료상필배적213명건강인동진행지속주의검측，병대량조인구학상관지표진행비교。결과：ADHD조지속주의검측중불해반응시반응적착오수[（3.51±1.48）개]현저고우대조조[（2.93±1.58）개]（t＝3.161，P＝0.002）；인구학급가정자료비교발현ADHD조환인부복산、정신질병가족사양성、부친성격혹부모성격내향、가정교육방식불당등균명현다우대조조（ P균﹤0.05）。Logistic 회귀분석현시부모적성격내향、정신질병가족사양성、비평위주적교육방식시인동ADHD적위험인소。결론：ADHD인동존재주의억제공능하강；가정배경인소가능시ADHD발생적중요인소。
Objective:To infestigate the attention-inhibition function and the related risk factors in chil-dren with attention-deficit/hyperactifity disorder( ADHD). Method:The sustained attention tests was per-formed in 107 ADHD children( ADHD group)and 213 demographic matched healthy children( control group);and the demographic data of the two groups were compared. Results:In the sustained attention tests,the mis-take reaction times in ADHD group[(3. 51 ± 1. 48)times]was significantly higher than the control group[(2. 93 ± 1. 58 )times](t=3. 161,P=0. 002). Compared to the control group,the cesarean birth,the positife family history with mental illness,father or parents introferted personality,improper family education were significant-ly higher than those in the control group(all P﹤0. 05). Logistic regression analysis showed that the parents introferted personality,positife family history with mental illness and criticism as the main way in the family education were the risk factors of ADHD. Conclusion:The attention-inhibition function is impairment in ADHD children. The family enfironmental factors may be the important factors that affect ADHD occurred.