首页> 中文期刊> 《中国心理卫生杂志》 >注意缺陷多动障碍儿童父母的执行功能生态学特征

注意缺陷多动障碍儿童父母的执行功能生态学特征

         

摘要

Objective: To study the ecological executive function features of parents of children with attention deficit hyperactivity disorder (ADHD). Methods: Totally 147 parents of children with ADHD and 130 parents of normal children with the similar age and years of education were selected. The ADHD children were diagnosed according to the diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). They were assessed with the Behavior Rating Scale of Executive Function (BRIEF-A). Results: The scores of global executive composite, behavior management index, metacognition index, inhabition, convert, emotion monitoring, self-montior, restart, working memory, plan and organize factors of the ADHD children's parents were significant worse than the control group [ e. g., BRIEF-A total score, ( 1.2 ± 0. 2) vs. ( 1.3 ± 0. 2), P < 0. 05]There was no significant difference of task monitoring factor between the two groups (P > 0. 05). Conclusion: The parents of children with attention deficit hyperactivity disorder have certain defects in executive functions.%目的:探讨注意缺陷多动障碍(ADHD)儿童父母执行功能生态学特征.方法:选取147名符合美国精神障碍诊断与统计手册第4版(DSM-Ⅳ)诊断标准的注意缺陷多动障碍儿童的父母亲,130名无注意缺陷多动障碍及其他神经疾患的正常儿童的年龄、受教育年限匹配的父母亲,让其分别填写执行功能行为评定量表成人问卷(自评和他评) (BRIEF-A),比较两组对象执行功能.结果:ADHD组父母BRIEF-A自评、他评量表,在执行总分、行为管理指数和元认知管理指数及其所属的抑制、转换、情绪控制、自我监控、启动、工作记忆、计划和组织因子方面,均明显低于对照组(均P<0.05);而父母自评的任务监控因子两组差异无统计学意义(P>0.05).结论:注意缺陷多动障碍患儿父母的执行功能存在一定的缺陷.

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