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整合视听连续执行测试与儿童感觉统合能力的相关性分析
作者:李艳苓1  汤艳清2  沈丽红1  孙晶1  孙刚1 
单位:1 鞍山市中心医院心理科 辽宁 鞍山 114001 
2
 中国医科大学心理卫生医院 辽宁 沈阳 110001 
关键词:整合视听连续执行测试 注意缺陷多动障碍 儿童感觉统合失调 
分类号:G449.7
出版年,卷(期):页码:2005,13(1):91-93
摘要:

目的:通过整合视听连续执行测试和儿童感觉统合能力评定,探讨二者之间的相关性及各亚型ADHD儿童的感觉统合能力的差异。方法:根据整合视听连续执行测试结果将170名儿童分成4组,对各组儿童进行感觉统合能力评定。结果:注意缺陷为主型儿童的视觉反应控制商数与本体感及身体协调因子分呈负相关;多动-冲动为主型儿童的综合尺度反应控制商数、视觉反应控制商数、综合尺度注意力商数、听觉注意力商数与学习能力发展因子分呈正相关;混合型儿童的综合尺度注意力商数、视觉注意力商数与学习能力发展因子分呈正相关;注意缺陷为主型和混合型儿童的大肌肉及平衡感、学习能力发展因子分低于临界值;多动-冲动为主型儿童的学习能力发展因子分低于临界值,触觉防御及情绪因子分高于临界值;其他各项因子分接近临界值。结论:根据整合视听连续执行测试结果诊断的ADHD各亚型的综合商数与感觉统合能力发展评定量表因子分的相关性是不同的;各亚型ADHD儿童的感觉统合能力均较低,且都存在着学习能力发展不足问题;注意缺陷为主型和混合型儿童的大肌肉及平衡感失调比多动-冲动为主型儿童更明显。

Objective:To evaluate the integrated visual and auditory continuous performance test( IVA-CPT) and the ability of sensory integration in children, and then to investigate their correlation and the differences of ability of sensory integration in subtypes of ADHD children.Methods: 170 children were divided into four groups by the results of IVA-CPT, and then to assess the ability of sensory integration in each group of children.Results: In attention deficit subtype group, it showed negative correlation between visual response control quotient and the scores of noumenon feeling and body coordination. In hyperactive disorder-impulsion control disorder subtype group, it showed positive correlation between comprehensive scale response control quotient, visual response control quotient, comprehensive scale attention quotient, visual attention quotient and the scores of the development in learning ability. The scores of development in big muscles, neutralization felling and learning ability are lower than critical value in subtype of attention deficit and mixed type; The scores of development of learning ability are lower than critical value in hyperactive-impulsion disorder sutype, the scores of the sense of touch defence and mood are higher than critical value; the scores of others approached to critical value. Conclusion: The correlation between comprehansive quotient and the ability of sensory integration in different subtypes of ADHD is different according to the results of integrated visual and auditory continuous performance test. The ability of sensory integration is lower in every subtype of ADHD and they all have deficit problem of learning ability development; The imbalance of big muscles and neutralization felling in attention deficit subtype is significantly higher than hyperactive-impulsion subtype in children.

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参考文献:

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