中国循证儿科杂志2018，Vol.13Issue(2)：102-106,5.DOI:10.3969/j.issn.1673-5501.2018.02.005
学龄期注意缺陷多动障碍男生执行功能异质性与父母压力相关性的病例对照研究
The case-control study of relationship between heterogeneous executive function and parenting stress in school boys with attention deficit hyperactivity disorder
摘要
Abstract
Objective The relationship between heterogeneous executive function (EF) and parenting stress among school boys with attention deficit hyperactivity disorder(ADHD) was explored.Methods In this case-control study,boys with ADHD were chosen as case group (subgroup of Children with EF deficits and subgroup of Children with intact EF),boys with normal development were chosen as control group.We used the STROOP color-word test,Wisconsin Card Sorting Task (WCST),Cambridge Neuropsychological Test Automatic Battery (CANTAB),Wechsler Intelligence Scale for Children-Fourth Edition (WISC-Ⅳ) to evaluate the executive function,and used Swanson Nolan and Pelham,Version Ⅳ (SNAP-Ⅳ) inattention and hyperactivity/impulsivity subscales to assess the ADHD symptom,SNAP-Ⅳ oppositional defiant subscale and Parent Symptom Questionnaire (PSQ) for the comorbidity,and Parenting Stress Index (PSI) for parenting stress.Results Data from 104 drug-naive boys diagnosed with ADHD (mean age 9.95) and 47 boys showing normal development (mean age 10.79) were collected.Their age was statistically different.The differences in SNAP-Ⅳ scores,PSQ scores were all statistically significant.The EF differences between ADHD intact EF subgroup and EF deficit subgroup were all statistically significant,but there were no significant difference between intact EF subgroup and control group.Compared to control group,the PSI total scores and all the factor scores of ADHD group and both of the subgroups were significantly higher,but there were no difference between ADHD intact EF subgroup and EF deficit subgroup except for distractibility/hyperactivity factor.Conclusion Overall,increased stress was found in ADHD boys' parents regardless of the EF subgroup.Having intact EF didn't improve the stress of parenting.关键词
注意缺陷多动障碍/父母压力/执行功能Key words
Attention deficit hyperactivity disorder/Parenting stress/Executive function引用本文复制引用
李梦瑶,李焱,江文庆,杜亚松..学龄期注意缺陷多动障碍男生执行功能异质性与父母压力相关性的病例对照研究[J].中国循证儿科杂志,2018,13(2):102-106,5.基金项目
国家自然科学81271510 （）
上海市科学技术委员会青年课题:15411967500 （）
