注意缺陷多動障礙與正常兒童沖突監(jiān)測功能比較研究
發(fā)布時間：2019-05-28 11:00
【摘要】：第一部分不同亞型注意缺陷多動障礙兒童家庭環(huán)境與行為比較 目的：對注意缺陷多動障礙常見亞型的家庭環(huán)境與沖突監(jiān)測功能進行比較，尋求ADH行為問題的危險因素，探討不同亞型認知損傷的差異。方法：選擇ADHD注意缺陷型(ADHD-I型)和混合型（ADHD-C型）各39例、正常兒童38名，進行Conners父母問卷PSQ、家庭環(huán)境量表FES-CV的評定和空間整合Simon-Stroop任務的完成。結果：量表：①PSQ：ADHD-I型和ADHD-C型的品行問題、學習問題、沖動-多動及多動指數(shù)與正常組比較，差異有統(tǒng)計學意義（P0.05）；兩亞型間上述4個評分差異有統(tǒng)計學意義；②FES-CV：ADHD-I型和ADHD-C型的親密度、情感表達、矛盾性、知識性、娛樂性、控制性與正常組比較，差異有統(tǒng)計學意義（P 0.05）；兩亞型間矛盾性評分差異有統(tǒng)計學意義。行為學：Simon不一致（Siin）和Stroop不一致(Stin)條件，ADHD-I型和ADHD-C型的反應正確率(Siin：0.76±0.13，0.69±0.13；Stin：0.82±0.10，0.78±0.08)和反應時（Siin：876.4±97.34ms，，893.8±130.1ms；Stin：864.4±91.82ms，860.2±125.0ms）與正常組(Siin：0.81±0.11，810.4±136.1；Stin：0.87±0.08，797.4±136.1ms)比較，差異有統(tǒng)計學意義（P0.05）；兩亞型間Siin及Stin的正確率差異有統(tǒng)計學意義；Pearson相關分析：FES-CV某些環(huán)境因素與ADHD兒童的行為特點存在不同程度相關性。結論：不良的家庭環(huán)境是ADHD兒童發(fā)生行為問題的危險因素，且ADHD-C型的家庭、行為問題較ADHD-I型突出。ADHD兩亞型均存在沖突監(jiān)測功能缺損，損傷程度有所不同，ADHD-C型較ADHD-I型重。 第二部分ADHD兒童沖突監(jiān)測功能事件相關電位與行為學研究 目的：對注意缺陷多動障礙（ADHD）兒童完成干擾任務的行為學和事件相關電位（ERP）進行分析，探討ADHD兒童是否存在沖突監(jiān)測功能損傷，尋求ADHD兒童ERP各成分在不同導聯(lián)的變化特點及意義。方法：選擇ADHD兒童112例、正常兒童101名，進行空間整合Simon-Stroop任務的完成。結果：行為學：Simon不一致（Siin）和Stroop不一致(Stin)條件，ADHD組的反應錯誤率(Siin：0.27±0.12，Stin：0.19±0.10)和反應時(Siin：890.35±93.15，Stin：858.15±95.63)與正常組(Siin：0.18±0.14，820.40±106.8；Stin：0.15±0.16，816.94±104.7)比較，差異有統(tǒng)計學意義（P0.05）；事件相關電位（ERP）：N1和P2成分：波幅和潛伏期在Fz、Fcz、Cz導聯(lián)上與正常組比較，差異有統(tǒng)計學意義，但不存在條件主效應；N2a和N2b成分：波幅和潛伏期在Fz、Fcz導聯(lián)上與正常組比較，差異有統(tǒng)計學意義，同時存在條件主效應；P3成分：波幅和潛伏期在Cz、Pz導聯(lián)上與正常組比較，差異有統(tǒng)計學意義，同時存在條件主效應。結論：ADHD兒童存在沖突監(jiān)測功能損傷，且整個認知加工過程中，ERP不僅早期成份存在異常，且晚期成分也有異常。ERP各成分所代表的意義有所不同，不同導聯(lián)ERP主成分的變化特點也不同。在Fz、Fcz導聯(lián)上,N1、N2成分變化最為明顯，N2代表沖突監(jiān)測功能的指標；Cz導聯(lián)是觀察P2成分差異的最好區(qū)域，N1、P2與視覺注意力，忽略無關信息能力有關；而P3成分則主要在Pz導聯(lián)上呈現(xiàn)，是衡量ADHD兒童認知功能的客觀指標之一。
[Abstract]:Comparison of family environment and behavior of children with attention deficit hyperactivity disorder in different subtypes of the first part Objective: To compare the family environment and the conflict monitoring function of the common subtype of attention deficit hyperactivity disorder, and to find the risk factors of ADH behavior and to explore the difference of the cognitive impairment of different subtypes. Methods:39 cases of ADHD-type (ADHD-I) and mixed type (ADHD-C) and 38 normal children were selected. The evaluation of the family environment scale FES-CV and the completion of the Simon-Stroop were completed. The results were as follows: Q: ADHD-I and ADHD-C. The difference was significant (P0.05). The difference of four scores between the two subcategories was of statistical significance (P <0.05); the difference of the four scores between the two subcategories was of statistical significance; the AFIES-CV: ADHD-I and ADHD-C were close to each other. The difference in degree, emotion expression, contradiction, knowledge, entertainment and control was statistically significant (P 0.05). There was a statistical difference in the difference between the two subcategories. Presense. Behavior: Simon's Inconsistent (Siin) and Stroop Inconsistent (Stin) conditions, ADHD-I and ADHD-C type of reaction accuracy (Siin: 0.76-0.13, 0.69-0.13; Stin: 0.82-0.10, 0.78-0.08) and reaction (Siin: 876.4-97.34 ms, 893.8-130.1 ms; Stin: 864.4-91.82 ms, 860.2-125.0 ms) and normal group (Siin: 0.81-0.11, 810.4-136.1; Sti N: 0.87 (0.08, 797.4, 136.1 ms), the difference was statistically significant (P0.05); the difference of the accuracy of the two subtypes of Siin and Stin was of statistical significance; Pearson correlation analysis: some of the environmental factors of the FES-CV were related to the behavior characteristics of the ADHD children. Sex. Conclusion: The poor family environment is the risk factor of the behavior of ADHD children, and the ADHD-C family and behavior problems are higher than that of the ADHD-I type. The two subtypes of ADHD have the function of conflict monitoring, the degree of damage is different, and the ADHD-C type is higher than that of the ADHD-I type. The second part of the ADHD children's conflict monitoring function event-related potential and line Objective: To study the behavior and event-related potential (ERP) of children with attention deficit hyperactivity disorder (ADHD). Measure the function damage and seek the change of each component of the ADHD children's ERP in different leads Methods:112 children with ADHD were selected,101 normal children, and Simon-Stroop in space. Results: The behavior of Simin and Stroop did not agree (Stin). The reaction error rate of ADHD group (Siin: 0.27-0.12, Stin: 0.19-0.10) and reaction time (Siin: 890.35-93.15, Stin: 858.15-95.63) and normal group (Siin: 0.18-0.14, 820.40-106.8; Stin: 0.15-0.16, 816.94-104) (7) The difference was significant (P0.05); the event-related potential (ERP): N1 and P2: the amplitude and the latency were compared with the normal group in Fz, Fcz and Cz, but there was no conditional main effect; the components of N2a and N2b: amplitude and latent period Compared with the normal group in Fz and Fcz, there was a significant difference in the Fz and Fcz. The main effect of the condition was that the amplitude and the latent period were compared with the normal group in Cz and Pz, and the difference was of statistical significance. Conclusion: In the whole cognitive process, the early component of ADHD is not only abnormal but also in the late stage. There is also an exception. The meaning of the representative of the ERP components is different, and the change of the principal component of the different lead ERP The characteristic is also different. In Fz, Fcz guide, the change of the component of N1 and N2 is the most obvious, and the N2 represents the index of the conflict monitoring function; the Cz lead is the best area for observing the difference of the P2 component, N1, P2 is related to the visual attention, and the independent information ability is ignored; and the P3 component is mainly in Pz. The presentation on the guide is a measure of the cognitive function of the ADHD children.
【學位授予單位】：蘇州大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R749.94
本文編號：2486996
[Abstract]:Comparison of family environment and behavior of children with attention deficit hyperactivity disorder in different subtypes of the first part Objective: To compare the family environment and the conflict monitoring function of the common subtype of attention deficit hyperactivity disorder, and to find the risk factors of ADH behavior and to explore the difference of the cognitive impairment of different subtypes. Methods:39 cases of ADHD-type (ADHD-I) and mixed type (ADHD-C) and 38 normal children were selected. The evaluation of the family environment scale FES-CV and the completion of the Simon-Stroop were completed. The results were as follows: Q: ADHD-I and ADHD-C. The difference was significant (P0.05). The difference of four scores between the two subcategories was of statistical significance (P <0.05); the difference of the four scores between the two subcategories was of statistical significance; the AFIES-CV: ADHD-I and ADHD-C were close to each other. The difference in degree, emotion expression, contradiction, knowledge, entertainment and control was statistically significant (P 0.05). There was a statistical difference in the difference between the two subcategories. Presense. Behavior: Simon's Inconsistent (Siin) and Stroop Inconsistent (Stin) conditions, ADHD-I and ADHD-C type of reaction accuracy (Siin: 0.76-0.13, 0.69-0.13; Stin: 0.82-0.10, 0.78-0.08) and reaction (Siin: 876.4-97.34 ms, 893.8-130.1 ms; Stin: 864.4-91.82 ms, 860.2-125.0 ms) and normal group (Siin: 0.81-0.11, 810.4-136.1; Sti N: 0.87 (0.08, 797.4, 136.1 ms), the difference was statistically significant (P0.05); the difference of the accuracy of the two subtypes of Siin and Stin was of statistical significance; Pearson correlation analysis: some of the environmental factors of the FES-CV were related to the behavior characteristics of the ADHD children. Sex. Conclusion: The poor family environment is the risk factor of the behavior of ADHD children, and the ADHD-C family and behavior problems are higher than that of the ADHD-I type. The two subtypes of ADHD have the function of conflict monitoring, the degree of damage is different, and the ADHD-C type is higher than that of the ADHD-I type. The second part of the ADHD children's conflict monitoring function event-related potential and line Objective: To study the behavior and event-related potential (ERP) of children with attention deficit hyperactivity disorder (ADHD). Measure the function damage and seek the change of each component of the ADHD children's ERP in different leads Methods:112 children with ADHD were selected,101 normal children, and Simon-Stroop in space. Results: The behavior of Simin and Stroop did not agree (Stin). The reaction error rate of ADHD group (Siin: 0.27-0.12, Stin: 0.19-0.10) and reaction time (Siin: 890.35-93.15, Stin: 858.15-95.63) and normal group (Siin: 0.18-0.14, 820.40-106.8; Stin: 0.15-0.16, 816.94-104) (7) The difference was significant (P0.05); the event-related potential (ERP): N1 and P2: the amplitude and the latency were compared with the normal group in Fz, Fcz and Cz, but there was no conditional main effect; the components of N2a and N2b: amplitude and latent period Compared with the normal group in Fz and Fcz, there was a significant difference in the Fz and Fcz. The main effect of the condition was that the amplitude and the latent period were compared with the normal group in Cz and Pz, and the difference was of statistical significance. Conclusion: In the whole cognitive process, the early component of ADHD is not only abnormal but also in the late stage. There is also an exception. The meaning of the representative of the ERP components is different, and the change of the principal component of the different lead ERP The characteristic is also different. In Fz, Fcz guide, the change of the component of N1 and N2 is the most obvious, and the N2 represents the index of the conflict monitoring function; the Cz lead is the best area for observing the difference of the P2 component, N1, P2 is related to the visual attention, and the independent information ability is ignored; and the P3 component is mainly in Pz. The presentation on the guide is a measure of the cognitive function of the ADHD children.
【學位授予單位】：蘇州大學
【學位級別】：碩士
【學位授予年份】：2012
【分類號】：R749.94
【參考文獻】
相關期刊論文 前10條
1 劉麗;馮斌;歐陽穎;俸曦;謝丹丹;傅師亭;吳玫;;事件相關電位和Conners家長量表在注意缺陷多動障礙兒童的應用比較[J];重慶醫(yī)學;2010年14期
2 張凱峰;徐秀;;注意缺陷多動障礙兒童的事件相關腦電位研究[J];中國兒童保健雜志;2008年02期
3 范娟;杜亞松;王立偉;;Conners父母用癥狀問卷的中國城市常模和信度研究[J];上海精神醫(yī)學;2005年06期
4 聶陸一,王改青,王慧聰;注意缺陷多動障礙兒童患者的事件相關電位研究[J];臨床神經(jīng)病學雜志;2003年04期
5 王玉平,楊靜;認知事件相關電位沖突負波-N270與腦認知活動的關系[J];中國臨床康復;2004年01期
6 梁福成,董軍,韓玉榮;多動癥兒童與認知事件相關電位的實驗研究[J];心理科學;2002年02期
7 ;兒童注意缺陷多動障礙診療建議[J];中華兒科雜志;2006年10期
8 楊慧明;毛萌;;注意缺陷多動障礙的診治進展[J];中華婦幼臨床醫(yī)學雜志(電子版);2006年06期
9 劉豫鑫,王玉鳳;注意缺陷多動障礙兒童認知特點的研究[J];中華醫(yī)學雜志;2002年06期
10 靜進;吳丙辰;麥堅凝;楊文翰;楊思淵;;注意缺陷多動障礙兒童的社會適應行為特征[J];中國實用兒科雜志;2007年07期
本文編號：2486996
本文鏈接：http://sikaile.net/yixuelunwen/jsb/2486996.html
最近更新
教材專著
