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注意缺陷多动障碍成人患者的跨期选择特征研究

洪海恒 陈彩丽 张诗雨 周怡 李海梅 刘璐 钱秋谨 王玉凤

中国心理卫生杂志2024,Vol.38Issue(12):1039-1044,6.
中国心理卫生杂志2024,Vol.38Issue(12):1039-1044,6.DOI:10.3969/j.issn.1000-6729.2024.12.004

注意缺陷多动障碍成人患者的跨期选择特征研究

Characteristics of intertemporal choice in adults with attention deficit hyperactivity disorder

洪海恒 1陈彩丽 1张诗雨 1周怡 1李海梅 1刘璐 1钱秋谨 1王玉凤1

作者信息

  • 1. 北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京 100083
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摘要

Abstract

Objective:To explore the characteristics of delay discounting and non-systematic response data in intertemporal choice of adults with attention deficit hyperactivity disorder(ADHD),and to explore the best data processing strategy for delay discounting task.Methods:Totally 108 adults with ADHD meeting the diagnostic cri-teria of the Diagnostic and Statistical Manual of Mental Health Disorder,Fifth Edition(DSM-5)and 87 gender matched normal controls were enrolled.ADHD symptoms were assessed using the ADHD Symptom Rating Scale,the delay discounting task was used to measure the delay discounting rate,and a model-free algorithm was used to i-dentify non-systematic response data.Results:There was no significant difference in the proportion of non-systemat-ic response data between ADHD group and normal control group(P>0.05).In the data sets using different data screening strategies,the delay discounting rates were higher in the ADHD group than in the normal control group(Ps<0.05).The delay discounting rates were positively correlated with the hyperactive impulse scores(r=0.24,P=0.001),the inattention scores(r=0.20,P<0.01)and the total scores of ADHD symptom Rating Scale(r=0.22,P<0.01).Conclusion:Adults with ADHD prefer to obtain immediate small rewards in intertemporal choice.The immediate preference of intertemporal choice may be mainly related to hyperactive impulsive symp-toms.Exclusion strategy of non-systematic response data may be more applicable to delay discount task research.

关键词

跨期选择/注意缺陷多动障碍/延迟折扣任务/非系统响应数据

Key words

intertemporal choice/attention deficit hyperactivity disorder/delay discounting task/non-sys-tematic response data

分类

医药卫生

引用本文复制引用

洪海恒,陈彩丽,张诗雨,周怡,李海梅,刘璐,钱秋谨,王玉凤..注意缺陷多动障碍成人患者的跨期选择特征研究[J].中国心理卫生杂志,2024,38(12):1039-1044,6.

中国心理卫生杂志

OA北大核心CHSSCDCSTPCD

1000-6729

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