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目的:探讨注意缺陷多动障碍(ADHD)儿童不同亚型的个性和注意力缺陷多动的临床特征。方法:采用视听整合持续操作测验(IVA-CPT)和艾森克个性问卷(EPQ)对278例ADHD儿童的3个亚型(ADHD-I、ADHD-HI和ADHD-C)进行个性特征和注意力缺陷多动特征分析。结果:ADHD患儿N维度量表T分在3个亚型间差异有统计学意义(P<0.05),ADHD-C型患儿得分高于ADHD-I型。个性构成分析发现,ADHD-C型患儿情绪不稳定的个性构成人数大于ADHD-I型和ADHD-HI型,差异有统计学意义(P<0.05)。ADHD-C型的综合控制力商数、综合注意力商数、听觉和视觉注意力商数、听觉和视觉谨慎商数、听觉一致性商数、听觉注意集中商数、听觉和视觉警醒商数、视觉毅力商数与ADHD-I型和/或ADHD-HI型比较其差异均有统计学意义(P<0.05)。结论:ADHD-C型患儿情绪不稳定、敏感多疑、缺乏自尊自信的个性特征明显,并存在反应控制力和持续性注意力的损害,应根据不同亚型患儿的临床特点制定更有针对性的心理治疗方案。
Objective: To investigate the clinical features of personality and attention deficit hyperactivity in different subtypes of Attention Deficit Hyperactivity Disorder (ADHD) children. Methods: Three subtypes of 278 children with ADHD (ADHD-I, ADHD-HI and ADHD-C) were characterized by IVA-CPT and EPQ-EPQ Analysis of Force Defects and Hyperactivity. Results: There were significant differences in T score between three subtypes in children with ADHD (P <0.05). Children with ADHD-C scored higher than ADHD-I children. Personality analysis found that the number of individuals with emotional instability in children with ADHD-C was greater than that of ADHD-I and ADHD-HI, with significant difference (P <0.05). ADHD-C type of integrated control quotient, comprehensive attention quotient, auditory and visual attention quotient, auditory and visual caution quotient, auditory consistency quotient, auditory attention focused quotient, auditory and visual alert quotient There were significant differences in visual persistence quotient and ADHD-I and / or ADHD-HI between the two groups (P <0.05). CONCLUSIONS: Children with ADHD-C are emotionally unstable, sensitive and suspicious, and lack personality self-esteem and self-esteem with obvious personality traits and control response and persistent attention impairment. Children with different subtypes should be based on the clinical characteristics of more targeted Sexual psychotherapy program.