中国临床心理学杂志

两种亚型注意缺陷多动障碍儿童在冒险任务中的表现

作者：朱昭红¹ 王勇慧² 汪萍³

单位：1. 西安体育学院心理教研室陕西西安710068
2. 陕西师范大学心理学院陕西西安710062
3. 第四军医大学西京医院儿科

分类号：R749.94

出版年,卷(期):页码：2011,19(4):479-482

摘要：

目的：探讨两种亚型注意缺陷多动障碍患儿(注意缺陷型和混合型)在冒险任务中的表现。方法：选取AD-HD儿童38例，其中注意缺陷型22例，混合型16例，以及在年龄、受教育程度、性别、智力上与ADHD组相匹配的38名正常对照组儿童。采用Roger’s冒险任务进行研究，比较ADHD患儿和正常对照组以及两组ADHD亚型在冒险效应和奖励效应上的选择数量。结果：①在冒险效应上，ADHD患儿冒险性选择的总数量明显高于正常对照组儿童(P<0.05)；在奖励效应上，ADHD患儿在各奖励分数类型上的选择成绩高于正常对照组儿童(P<0.05)。②两种亚型ADHD(混合型和注意缺陷型)患儿在冒险效应和奖励效应上选择数量差异无统计学意义(均P>；0.05)。结论：两种亚型ADHD患儿均倾向于冒险性行为，两种亚型患儿在冒险任务中表现相似。

Objective:explore the performance of children with attention deficit hyperactivity disorder (ADHD) inRoger’s risk task,so as to examine their motivational control function.Methods:Thirty-eight children with clinical diagnosisof ADHD (22 of predominantly inattentive,i.e.,ADHD-I;and 16 of combined,i.e.,ADHD-C) were compared to 38normal controls who were matched in age,IQ and the years of education in Roger’s risk task.Results:In the risky effects,ADHD children tended to select more risky behavior than normal controls.In the rewarding effects,ADHD children tendedto get more rewarding scores than the normal controls.No significant differences were observed between the two subtypesof ADHD in the risky effects and the rewarding effects.Conclusion:These results support the assumption that ADHDchildren show motivational deficient in the presence of reward and punishment.

基金项目：

教育部“新世纪优秀人才支持计划”(NCET-08-0801)；全国教育科学“十一五”规划2007年度教育部重点课题(DBA070070)资助

作者简介：

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