在注意力缺陷多动症中,执行功能和思想理论之间是否存在关联? 通过元分析进行系统审查的结果
D A Ferreira1, F L Osório1,2
1Department of Neurosciences and Behavior Sciences, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
概括
执行功能 (EF) 和思维理论 (ToM) 在ADHD患者和健康对照人群中显示出中度的关联. 这些EF和ToM之间的联系在不同年龄组和ADHD状态中是一致的.
科学领域:
- 认知神经科学 认知神经科学
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 执行功能 (EF) 和思维理论 (ToM) 缺陷在注意力缺陷多动症 (ADHD) 中很普遍,影响自我调节和社交技能.
- 在ADHD中ToM障碍可能源于基础EF缺陷,这对复杂的心理推理至关重要.
- 在ADHD中对EF-ToM关联进行元分析评估是有必要的.
研究的目的:
- 系统地审查和元分析EF和ToM在有或没有ADHD的个体之间的关联.
- 检查这些协会在不同的发展阶段.
主要方法:
- 在七个数据库中进行了系统的文献审查.
- 使用纽卡斯尔-太华量表来评估方法质量.
- 使用随机效应模型来估计相关系数,并对年龄和ADHD状态进行子组分析.
主要成果:
- 在分析中包括了15项研究.
- 在ADHD (0.20-0.38) 和健康组 (0.02-0.40) 中观察到EF和ToM之间的中等关联.
- 儿童和成人样本之间没有发现EF-ToM关联的显著差异.
结论:
- 在EF和ToM之间存在显著的,中度的关联.
- 根据年龄,ADHD存在或特定的EF子域,这种关联没有显著差异.
- 未来的研究应该解决方法上的局限性,并扩大年龄组的包容性.
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