CAJ | 학술논문

目的探讨感觉统合失调对注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童行为和认知功能的影响.方法采用Conners父母症状问卷、Achenbach儿童行为量表、中国韦氏儿童智力量表(C-WISC)评估并比较了33例不伴感觉统合失调、33例轻度失调、32例重度失调ADHD儿童和50例健康对照组儿童的行为问题和智力差异,探讨感觉统合能力与ADHD儿童行为问题和智力的相关性.结果 (1)行为问题:重度失调组在Conners父母症状问卷中的品行问题、学习问题、冲动-多动、多动指数因子得分高于健康对照组、不伴感觉统合失调组,心身障碍、焦虑因子得分高于健康对照组、不伴感觉统合失调和轻度失调组,而在Achenbach儿童行为量表中的社会退缩、多动、违纪、攻击因子分均高于健康对照组、不伴感觉统合失调组,抑郁、躯体诉述因子得分高于健康对照组、不伴感觉统合失调和轻度失调组,均差异有统计学意义(均P＜0.01).(2)智力水平:重度失调组言语智商[(98.53±10.80)分]低于健康对照组[(107.40± 12.03)分],差异有统计学意义(P＜0.01),重度失调组操作智商[(94.59± 10.56)分]低于健康对照组[(108.96± 10.20)分]、不伴感觉统合失调[(101.88±8.15)分]和轻度失调组[(100.73±9.52)分],重度失调组全智商[(96.22±10.12)分]低于健康对照组[(109.18±9.95)分]、不伴感觉统合失调组[(102.70±7.52)分],均差异有统计学意义(均P＜0.01);(3)感觉统合评分与行为问题、智力的相关性分析:感觉统合评分与ADHD儿童行为问题呈负相关,与ADHD儿童操作智商、全智商呈正相关.结论感觉统合失调会增加ADHD儿童行为问题的产生,影响ADHD儿童的认知功能,感统能力与认知功能的相关性为临床干预提供了新的思路.
목적 탐토감각통합실조대주의결함다동장애(attention deficit hyperactivity disorder,ADHD)인동행위화인지공능적영향.방법 채용Conners부모증상문권、Achenbach인동행위량표、중국위씨인동지역량표(C-WISC)평고병비교료33례불반감각통합실조、33례경도실조、32례중도실조ADHD인동화50례건강대조조인동적행위문제화지력차이,탐토감각통합능력여ADHD인동행위문제화지력적상관성.결과 (1)행위문제:중도실조조재Conners부모증상문권중적품행문제、학습문제、충동-다동、다동지수인자득분고우건강대조조、불반감각통합실조조,심신장애、초필인자득분고우건강대조조、불반감각통합실조화경도실조조,이재Achenbach인동행위량표중적사회퇴축、다동、위기、공격인자분균고우건강대조조、불반감각통합실조조,억욱、구체소술인자득분고우건강대조조、불반감각통합실조화경도실조조,균차이유통계학의의(균P＜0.01).(2)지력수평:중도실조조언어지상[(98.53±10.80)분]저우건강대조조[(107.40± 12.03)분],차이유통계학의의(P＜0.01),중도실조조조작지상[(94.59± 10.56)분]저우건강대조조[(108.96± 10.20)분]、불반감각통합실조[(101.88±8.15)분]화경도실조조[(100.73±9.52)분],중도실조조전지상[(96.22±10.12)분]저우건강대조조[(109.18±9.95)분]、불반감각통합실조조[(102.70±7.52)분],균차이유통계학의의(균P＜0.01);(3)감각통합평분여행위문제、지력적상관성분석:감각통합평분여ADHD인동행위문제정부상관,여ADHD인동조작지상、전지상정정상관.결론 감각통합실조회증가ADHD인동행위문제적산생,영향ADHD인동적인지공능,감통능력여인지공능적상관성위림상간예제공료신적사로.
Objective To investigate the behavioral problems and intelligence in children with attention deficit hyperactivity disorder (ADHD) with different degree of sensory integrative dysfunction (SID).Methods Ninety-eight children with ADHD and fifty typical developing children (TD) whose intelligence were assessed with Chinese revised wechsler intelligence scale for children(C-WISC) in this study.Parental report measures of sensory integrative dysfunction and behavioral problems were administrated using the sensory integrative rating scale of children,conners' parent symptom questionnaire (PSQ) and achenbach children behavior checklist scale (CBCL) respectively.Relationship between behavioral problems,cognitive profiles and SID were examined in in children with ADHD with different degree of SID (33 without SID,33 mild SID and 32 severe SID).Results (1) Behavioral problems:the children with ADHD with severe SID (SS) had higher scores in Conduct problem,Learinng problem,Impulsivity-hyperactivity,Hyperactivity index of the PSQ and Depression,Somatic complaint of the CBCL than the children with ADHD without SID (NS),the children with ADHD with mild SID (MS),and TD.SS group had higher scores in Withdrawn behavior,Hyperactivity index,Aggressive and Delinquent behavior in CBCL than the TD and NS groups(P＜0.05).(2) Intelligence:the SS group(98.53±l0.80) had lower Verbal Intelligence Quotient (VIQ) than the TD group(107.40± 12.03) and lower Performance Intelligence Quotient (PIQ) (94.59± 10.56) than the other groups(TD:108.96± 10.20; NS:101.88±8.15 ; MS:100.73 ± 9.52).Additionally,the SS group had lower full scale intelligence quotient (FIQ) (96.22± 10.12) than the NS(102.70±7.52) and TD group (109.18±9.95)(P＜0.05).(3) The scores of SID were negatively correlated with behavior problems (PSQ and CBCL) and positively correlated with PIQ and FIQ.Conclusion SID have negative impact on behavioral problems and cognitive function in children with ADHD.The relationship between sensory integration and cognitive function may provide a new way for the clinical intervention of children with ADHD.