认知失调综合征与ADHD儿童和青少年的特定学习障碍之间的关联
Akın Tahıllıoğlu1, Öznur Bilaç2, Seda Erbaş3
1Department of Child and Adolescent Psychiatry, Private Outpatient Clinic, İzmir, Turkey.
Applied neuropsychology. Child
|March 3, 2024
概括
认知失调综合征 (CDS) 与患有注意力缺陷/多动障碍 (ADHD) 的儿童的特定学习障碍 (SLD) 密切相关. 特别是CDS白日梦症状,即使考虑到其他因素,也显示出与SLD有显著的关联.
科学领域:
- 神经发育障碍 神经发育障碍
- 儿童和青少年精神病学 儿童和青少年精神病学
- 学习障碍 学习障碍 学习障碍
背景情况:
- 注意缺陷/多动障碍 (ADHD) 经常与其他神经发育状况同时发生.
- 特定学习障碍 (SLD) 影响学业成绩,并且经常与ADHD并发.
- 认知失调综合征 (CDS) 描述了一种认知和情感症状模式,可能与ADHD和SLD呈现重叠.
研究的目的:
- 在被诊断为ADHD的儿童和青少年中调查认知失调综合征 (CDS) 和特定学习障碍 (SLD) 之间的关联.
- 确定CDS的特定方面是否与SLD有更强烈的关系.
- 在ADHD人群中探索CDS和SLD同时发生的临床影响.
主要方法:
- 一项比较性研究设计,涉及智商≥80的8-15岁儿童和青少年.
- 包括两个组:"只有ADHD" (n=60) 和"ADHD + SLD" (n=82).
- 使用结构化精神病学面试,精神状态检查和父母完成的评级表 (ADHD-RS IV,BCAS,SLD-ES).
主要成果:
- "ADHD + SLD"组的CDS患病率 (47.6%) 与"只有ADHD"组 (15%) 相比显著更高.
- "ADHD + SLD"组在总CDS,CDS-缓慢和CDS-白日梦的措施上显示了较高的分数.
- SLD得分与所有CDS指标有正相关;CDS白日梦仍然与SLD有显著的关联,即使在对共变量进行控制之后.
结论:
- 在患有多动症的青少年中,认知失调综合征 (CDS) 和特定学习障碍 (SLD) 之间存在着显著的关联.
- CDS-白日梦症状与SLD特别相关,独立于注意力不集中症状,智商,治疗持续时间和人口因素.
- 临床医生在评估患有SLD的儿童和青少年时,应考虑对CDS进行查,特别是那些患有ADHD的儿童和青少年,由于潜在的并发症.
关键词:
注意力缺陷/多动症障碍 注意力缺陷/多动症认知失调综合征 (Cognitive Disengagement Syndrome) 是一种认知失调症.缓慢的认知速度伴随性疾病发生率.学习障碍学习障碍是什么更多相关视频
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