儿童需要更长的时间来抑制自动反应:与使用NEPSY-II的焦虑障碍进行比较
Fabiola Panvino1, Valerio Zaccaria1, Michela Pica1
1Unit of Child and Adolescent Neuropsychiatry, Department of Human Neuroscience, Sapienza University of Rome, Via dei Sabelli 108, 00185 Rome, Italy.
Children (Basel, Switzerland)
|June 26, 2025
概括
患有焦虑障碍 (AD) 的儿童比患有注意力缺陷多动障碍 (ADHD) 或并发性ADHD + AD的儿童表现出更好的抑制. 焦虑可能会影响执行功能,突出需要使用NEPSY-II和MASC 2等工具进行差异诊断.
科学领域:
- 儿童和青少年心理学 儿童和青少年心理学
- 神经心理学 神经心理学
- 精神病学是一个精神病学.
背景情况:
- 注意缺陷多动障碍 (ADHD) 和焦虑障碍 (AD) 在年轻人中经常同时发生,呈现重叠的症状.
- 区分ADHD和AD对于有效的治疗计划至关重要.
- 执行功能,包括注意力,抑制和工作记忆,是研究的关键领域.
研究的目的:
- 为了比较患有多动症,多动症和并发症多动症+多动症的儿童的执行功能.
- 为了确定差异诊断的潜在神经心理标记.
- 探索焦虑对这些条件下的认知表现的影响.
主要方法:
- 在48名儿童 (8-15岁) 中使用WISC-IV和NEPSY-II.II评估执行功能 (注意力,抑制,工作记忆).
- 使用MASC 2问卷来测量焦虑症状.
- 将参与者分为三个组:ADHD,AD和ADHD + AD.
主要成果:
- 在不同组的注意力或工作记忆中没有发现显著差异.
- 与ADHD和ADHD+AD组相比,患有ADD的儿童表现出更好的抑制.
- 患有ADHD的儿童表现出更慢的反应时间,更好的抑制与更高的焦虑严重程度相关.
结论:
- 焦虑可能会调节儿童的执行功能,特别是抑制,在ADHD和AD.
- 根据执行功能概况,特别是抑制,区分ADHD和AD是很重要的.
- 推使用NEPSY-II和MASC 2来促进临床实践中的差异诊断.
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