在三年级的儿童中,阅读能力和认知处理在ADHD和发育性阅读障碍症的共同病变中
Zunwei Zhang1, Yang Xue1, Miaoshui Bai1
1Department of Developmental and Behavioral Pediatrics, Children's Medical Center, The First Hospital of Jilin University, Changchun, China; The Child Health Clinical Research Center of Jilin Province, Changchun, China.
Journal of psychiatric research
|August 3, 2025
概括
患有多动症和阅读障碍的儿童表现出认知失衡,计划和注意力缺陷影响阅读. 连续处理可能会对这些孩子的角色识别产生负面影响.
科学领域:
- 神经科学是一个神经科学.
- 发展心理学 发展心理学
- 教育心理学教育心理学
背景情况:
- 注意缺陷/多动障碍 (ADHD) 经常与发育性阅读障碍 (DD) 一起发生.
- 患有ADHD+DD的儿童表现出阅读和认知缺陷.
- 关于PASS理论在ADHD + DD及其亚型中的认知处理的研究有限.
研究的目的:
- 研究基于PASS理论的阅读能力和ADHD+DD和ADHD亚型儿童的认知处理之间的关联.
- 探索ADHD亚型 (ADHD-I,ADHD-H,ADHD-C) 和典型发育 (TD) 儿童之间的认知处理差异.
- 确定特定认知过程在ADHD+DD儿童阅读表现中的作用.
主要方法:
- 共有318名三年级儿童被录取:99名ADHD+DD,103名ADHD-I,7名ADHD-H,22名ADHD-C和87名TD儿童.
- 对参与者进行了阅读能力测量的评估.
- 达斯-纳格利里认知评估系统 (DN:CAS) 用于评估认知处理.
主要成果:
- 患有ADHD+DD的儿童表现出智力失衡,表现出更强的绩效智商和较弱的口头智商.
- 患有ADHD-H的儿童完全表现出计划障碍,其他认知领域完好无损.
- 患有ADHD+DD的儿童表现出更严重的ADHD特征,包括连续处理中的缺陷.
- 回归分析表明,连续处理对ADHD+DD儿童的角色识别有负面影响.
结论:
- ADHD + DD的特点是认知失衡和严重的注意力和计划缺陷.
- 顺序处理在ADHD+DD儿童的阅读能力中起着不利的作用,特别是当注意力和计划受损时.
- 对于ADHD+DD儿童的干预策略应该考虑顺序处理在阅读困难中的复杂作用.
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