中国临床心理学杂志

不同亚型注意缺陷多动障碍儿童智力特征的分析

作者：金宇¹ 2 3 苏林雁¹ 邹小兵³ 范方¹ 修丽娟²

单位：1. 中南大学湘雅二医院精神卫生研究所湖南长沙 410011
2. 中山大学公共卫生学院妇幼卫生系广东广州 510080
3. 中山大学附属第三医院儿童发育行为中心

分类号：R395.1

出版年,卷(期):页码：2008,16(3):297-299

摘要：

目的:探讨不同亚型注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童的智力特征的差异。方法:根据美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)对广州市初诊ADHD患儿进行诊断和临床分型,其中注意缺陷为主型(predominantly inattentive type,I)42例、多动—冲动为主型(predominantly hyperactive impulsive type,HI)11例、混合型(combined type,C)53例,对3组患儿使用韦氏儿童智力量表进行智力测试,并对三组的智力测试结果VIQ、PIQ、FIQ进行分析比较。结果:三个亚型患儿之间FIQ和VIQ比较无明显差异(P＞0.05),注意缺陷为主型VIQ明显低于混合型(P＜0.05),其余两两比较无差异。注意缺陷为主型患儿中VIQ比PIQ差值大于15者比例最高(83.33%),多动冲动为主型和混合型中为18.18%,28.30%,同时PIQ比VIQ差值大于15者各为27.27%,20.75%。结论:不同亚型ADHD患儿的智力分布存在一定的差别,注意缺陷为主型与另两种亚型有不同的智力结构。

Objective:To analyse the intelligence structure of children with different attention deficit hyperactivity disorder subtypes.Methods:106 6-14-year-old children were diagnosed and classified according to DSM-Ⅳ into three subtypes:predominantly inattentive subtype of ADHD(ADHD-I,n=42),predominantly hyperactive/impulsive subtype of ADHD(ADHD-HI,n=11),and combined subtype of ADHD(ADHD-C,n=53).Wechsler Intelligence Scale for Children-Chinese Edition(C-WISC) was used to test intelligence of the 106 children.Results:There was no significant difference between PIQ and VIQ among children of three subtypes.The PIQ of Children with ADHD-I was significantly lower than that of ADHD-C,and no difference between children of ADHD-HI and ADHD-C,ADHD-I and ADHD-HI.The proportion of those VIQ significantly higher than PIQ(15) was the most(83.33%) in ADHD-I children,(ADHD-HI:18.18%,ADHD-C:28.30%).And the proportion of those PIQ significantly higher than VIQ(15) was 27.27% in ADHD-HI,and 20.75% in ADHD-C.Conclusion:The structure of intelligence of ADHD-I may be different from those of ADHD-HI and ADHD-C.

基金项目：

作者简介：

参考文献：

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