认知失调综合征是否会影响注意力缺陷多动症儿童的认知灵活性?
İbrahim Adak1, Esin Özdeniz Varan2, Özalp Ekinci1
1Department of Child and Adolescent Psychiatry, Erenköy Mental and Neurological Diseases Training and Research Hospital, University of Health Sciences, İstanbul, Türkiye.
The Eurasian journal of medicine
|January 24, 2026
概括
认知失调综合征 (CDS) 对ADHD儿童的认知灵活性产生负面影响. 与单独患有ADHD的儿童相比,患有ADHD和CDS的儿童在关键任务上的表现更差.
科学领域:
- 神经科学是一个神经科学.
- 儿童心理学 儿童心理学
- 临床精神病学 临床精神病学
背景情况:
- 认知灵活性 (CF) 对于学龄儿童的适应至关重要.
- 注意缺陷/多动障碍 (ADHD) 在儿童时期很常见,可以与认知失调综合征 (CDS) 一起发生.
- 以前被称为慢性认知节奏的CDS,在儿科患者群体中提出了独特的挑战.
研究的目的:
- 研究CDS对被诊断患有ADHD的儿童认知灵活性的影响.
- 为了比较只有ADHD的儿童和ADHD与CDS并发症的儿童之间的认知灵活性表现.
- 利用标准化的神经心理测试来量化认知灵活性差异.
主要方法:
- 招募了100名被诊断患有多动症的6-12岁儿童.
- 参与者被分为两个组:仅有ADHD (n=60) 和ADHD与CDS (CDS+ADHD,n=40).
- 进行了神经心理电池,包括WCST,Stroop测试,VFT和Color Trail测试,以评估认知灵活性.
主要成果:
- CDS+ADHD组在威斯康星州卡片排序测试 (WCST) 上表现明显较低.
- 与仅有ADHD组相比,CDS+ADHD组的语义流利性测试表现也明显较低.
- 在Stroop Color-Word Test和Color Trail Test的组之间没有观察到显著的性能差异.
结论:
- CDS与ADHD的同时发生显著损害了儿童的认知灵活性.
- 这些发现表明,CDS加剧了ADHD的认知灵活性缺陷.
- 需要采用综合方法进行进一步的研究,才能充分了解这些认知困难的性质.
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