注意缺陷多动障碍核心症状 对ADHD倾向儿童行为问题的影响
Prediction effect of Attention Deficit/ Hyperactivity Disorder‘s core symptoms to behavioral problems of children
投稿时间:2022-06-13  修订日期:2022-12-25
DOI:
中文关键词:  注意缺陷/多动障碍  ADHD倾向儿童  行为问题  注意缺陷
英文关键词:Attention deficit/hyperactivity disorder  Subthreshold ADHD  Behavioral problems  Attention deficit
基金项目:
作者单位邮编
欧子欣 广州医科大学 
杨翠盈 广州医科大学 
付彤 广州医科大学附属脑科医院 
杨乐天 广州医科大学 
黄师韬 广州医科大学附属脑科医院 
党彩萍 广州医科大学广州医科大学附属脑科医院 
杨婵娟 广州医科大学附属脑科医院 
殷炜珍* 广州医科大学附属脑科医院 510370
程道猛 广州医科大学附属脑科医院 
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中文摘要:
      目的 探讨注意缺陷/多动障碍(ADHD)核心症状对ADHD倾向儿童行为问题的影响。 方法 2021年7-8月从广州某小学筛选25名ADHD倾向儿童和25名对照儿童;采用斯诺佩父母评估量表(SNAP-IV)、儿童困难问卷(QCD)及Conners父母症状问卷(PSQ)由家长评定儿童情况。结果 ①ADHD倾向儿童的注意缺陷、多动-冲动和行为问题得分均高于对照组(t=2.274~7.771,P<0.05)。②注意缺陷得分与QCD总分负相关(r=-0.440,P<0.05),与学习问题得分正相关(r=0.457,P<0.05);多动-冲动得分与焦虑得分负相关(r=-0.457,P<0.05),与PSQ的冲动-多动得分正相关(r=0.552,P<0.01)。③注意缺陷得分对日常行为问题得分有预测作用,为46.8%(b=-0.682,P<0.05);多动-冲动得分对PSQ的焦虑和冲动-多动得分有预测作用,分别为36.7%(b=-0.048,P<0.05)和42.4%(b=0.690,P<0.01)。 结论 ADHD倾向儿童存在明显的注意缺陷症状、多动-冲动症状及行为问题,注意缺陷可能是其日常行为问题的主要原因,多动-冲动症状可能是其冲动-多动行为问题的主要原因。
英文摘要:
      【Abstract】 Objective To explore the core symptoms and behavioral problems of children with subthreshold attention deficit/hyperactivity disorder (ADHD) and the influence of ADHD core symptoms on the behavioral problems of this group. Methods On July to August 2021, 25 children with subthreshold ADHD and 25 normal children were selected from a primary school in Guangzhou. Children's condition were assessed by the parents using Swanson, Nolan and Pelham, version IV scale - parent form (SNAP-IV), Questionnaire-Children with Difficulties (QCD) and Conners Parent Symptom Questionnaire (PSQ). Results ①The inattention, hyperactivity-impulsivity and behavioral problems scores of the children with subthreshold ADHD group were higher than those of the control group (t=2.274~7.771, P<0.05). ② Inattention score of Children with subthreshold ADHD was negatively correlated with QCD total score (r=-0.440, P<0.05), and positively correlated with learning problems (r=0.457, P<0.05). The score of hyperactivity-impulsivity was negatively correlated with anxiety score (r=-0.457, P<0.05), and positively correlated with impulse-hyperactivity score. ③Inattention of Children with subthreshold ADHD had a significant predictive effect on daily behavioral problems, and its predictive effect was 46.8% (b=-0.682, P<0.05). Hyperactivity-impulsivity had a significant predictive effect on anxiety and impulsion hyperactivity, and their predictive effect were 36.7% (b=-0.048, P<0.05) and 42.4% (b=0.690, P<0.01) respectively. Conclusion?Children with subthreshold ADHD have significant attention deficit, hyperactivity-impulsivity and behavioral problems, and attention deficit may be the main cause of their daily behavioral problems.
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