Please use this identifier to cite or link to this item:
https://ah.lib.nccu.edu.tw/handle/140.119/32530| 題名: | ADHD次分類型在認知功能與行為表現間的關係 The relationship between cognitive function and behavior performance in ADHD subtypes |
作者: | 王淳弘 | 貢獻者: | 修慧蘭 王淳弘 |
關鍵詞: | 次分類型 認知功能 行為表現 ADHD subtypes cognitive function behavioral performance GDS DBRS |
日期: | 2005 | 上傳時間: | 17-Sep-2009 | 摘要: | 本研究目的，在探討以行為症狀區分的ADHD次分類型，是否也能在認知功能上有其相對映的區辨？本研究以行為症狀量表DBRS，測量受試者在不專心注意與過動/易衝動向度上的行為症狀表現，以神經心理測驗GDS，測量受試者在不專心注意與過動/易衝動向度上的認知功能表現。\n\n本研究假設認為，以行為症狀量表DBRS所區辨出的不同ADHD次分類型，在神經心理測驗GDS上，應具有不同的認知功能表現模式。透過對63名6~9歲的男性學齡受試者，由行為症狀量表DBRS區分ADHD次分類型，並以單因子變異數分析及Pearson積差相關等方式，檢驗不同次分類型間在神經心理測驗GDS上的認知功能差異與關係。\n\n研究結果顯示，以DBRS所區分的次分類型，在GDS各相關認知功能指標上，都無法有效獲得顯著的差異與關係；大部分的測驗指標，皆未能有效支持本研究假設。研究結果顯示，在本研究樣本中，受試者母親在DBRS上填答的行為症狀表現，與受試者在神經心理測驗GDS上的認知功能表現，未能展現出一致及可茲對映的區辨能力。並在討論中針對此結果，提出可能的原因及相關的建議。 The purpose of this study is to explore that if ADHD subtypes which are discriminated by behavioral symptoms could reflect the same discriminance on cognitive functions. In this study, the performance of inattention and hyperactive/impulsive behavioral symptoms are measured by the behavioral symptom scale, DBRS; and the performance of inattention and hyperactive/impulsive cognitive functions are measured by the neuropsychological testing, GDS. \n\nThe hypotheses of this study are that the different ADHD subtypes which are measured by behavioral symptom scale, DBRS, should have different performance pattern of cognitive functions in GDS. This study sorts 63 male subjects, aged from 6 to 9 years old, into 4 subtypes and compares the differences by one way ANOVA and explores the relationships by Pearson product-moment correlation, so as to exam the cognitive differences and the relationships between subtypes on neuropsychological test, GDS.\n\nThe results show that the subtypes which is discriminated by DBRS have no significant differences on most related cognitive-functioning indexes of GDS. Most testing indexes do not support the hypothese in this study. From the samples of this study the results show that the performance of behavioral symptoms on DBRS, based on mother`s evaluation of subject`s behavior, and subjects’ performance of cognitive functions on GDS do not have consistent or matched patern. The probabilistic explanation and related suggestion will be proposed in discussion. |
參考文獻: | 一、中文部分 胡海國、林信男編譯（民85）。ICD-10精神與行為障礙之分類：臨床描述與診斷指引。台北市：精神醫學會。 教育部（民87）。身心障礙及資賦優異學生鑑定原則鑑定基準。中華民國八十七年十月十九日教育部台（八七）特教字第八七一一五六六九號函。 教育部（民91）。身心障礙及資賦優異學生鑑定標準。中華民國九十一年五月九日參字第九一０六三四四四號令訂定發布全文二十條。 周文君、王雅琴、陳永成（民82）。兒童活動量表在注意力不足過動症之臨床應用。中華精神醫學，7，161-171。 特殊教育法。中華民國八十六年五月十四日總統 (86) 華總 (一) 義字第 860011282 0 號令修正公布全文 33 條 陳以儒（民93）。高登診斷系統之臺灣學童常模及臨床應用之研究。私立中原大學心理學研究所碩士論文，桃園市。 黃惠玲（民82）。發展台灣地區的多軸兒童行為衡鑑評量表。行政院國家科學委員會專題研究成果報告（報告編號NSC-82-0201-H037-002），未出版。 薛惠琪（民84）。兒童行為問題實徵性多軸衡鑑與分類之相關研究。私立中原大學心理學研究所碩士論文，桃園市。 二、英文部分 American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (3rd Rev. ed.). Washington, DC: Author. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author. 中譯本，孔繁鐘、孔繁錦（民86）。精神疾病的診斷與統計。台北市：合記。 Achenbach, T. M. (1991) Integrative Guide to the 1991 CBCL/4-18, YSR, and TRF Profiles. Burlington, VT: University of Vermont, Department of Psychology. Anastopoulos, A. D., & Shelton, T. L. (2000). Assessing attention-deficit/ hyperactivity disorder. New York: Kluwer Academic/Plenum Publishers. Barkley, R. A. (1997). Behavioral inhibition, sustained attention, and executive function: constructing a unified theory of ADHD. Psychological Bulletin. 121, 65-94. Barkley, R. A. (2002). Taking charge of ADHD: The complete, authoritative guide for parents. Guilford Press. 中譯本，何善欣譯（民91）。過動兒父母完全指導手冊。台北市：遠流。 Barkley, R. A. & Murphy, K. R. (1998). Attention-deficit hyperactivity disorder: A clinical workbook. Guilford Press. 中譯本，黃惠玲、趙家琛譯（民90）。注意力缺陷過動症：臨床工作手冊。台北市：心理出版社。 Biederman, J., & Faraone, S. V. (2005). Attention-deficit hyperactivity disorder. Lancet. 366, 237-248 Chhabildas, N., Pennington, B. F., & Willcutt, E. G. (2001). A comparison of the neuropsychological profiles of the DSM-IV subtypes of ADHD. Journal of Abnormal Child Psychology. 29, 529-540. Cohen, R. A. (Ed). (1993). The neuropsychology of attention. New York: Plenum Press. Crijnen, A. A. M., Achenbach, T.M., & Verhulst, F. C. (1997). Comparisons of problems reported by parents of children in 12 cultures: total problems, externalizing, and interndizing. Journal of the American Academy of Child & Adolescent Psychiatry. 36(9), 1269-1277. Crijnen, A. A. M., Achenbach, T.M., & Verhulst, F. C. (1999). Problems reported by parents and children in multiple cultures: The child behavior checklist syndrome constructs. The American Journal of Psychiatry. 156(4), 569-574. Crystal, D. S., Ostrander, R., Chen, R. S., & August, G. J. (2001). Multimethod assessment of psychopathology among DSM-IV subtypes of children with attention-deficit/hyperactivity disorder: self-, parent, and teacher reports. Journal of Abnormal Child Psychology. 29(3), 189-205 Dedrick, R. F., Greenbaum, P. E., Friedman, R. M., & Wetherington, C. M. (1997). Testing the structure of the child behavior checklist/4-18 using confirmatory factor analysis. Educational and Psychological Measurement. 57(2), 306-313. DuPaul, G J., Anastopoulos, A. D., Power, T. J., Reid, R., Ikeda, M. J., & McGeoey, K. E. (1998). Parent ratings of attention-deficit/hyperactivity disorder symptoms: factor structure, normative data and psychometric properties. Journal of Psychoeducational Assessment. 20, 83-102. Durston, S. (2003). A review of the biological bases of ADHD: what have we learned from imaging studies? Mental Retardation and Developmental Disabilities Research Reviews. 9, 184-195. Erford, B. T. (1993). Manual for the Disruptive Behavior Rating Scale. East Aurora. NY: Slosson. Erford, B. T. (1996). Reliability and validity of mother responses to the Disruptive Behavior Rating Scale-Parent Version (DBRS-P). Diagnostique. 21(2), 17-34. Erford, B. T. (1997). Reliability and validity of scores on the Disruptive Behavior Rating Scale-Teacher Version (DBRS-T). Educational and Psychological Measurement. 57(2), 329-339. Erford, B. T. (1998). Technical analysis of father responses to the disruptive behavior rating scale-parent version (DBRS-P). Measurement and Evaluation in Counseling and Development. 30(4), 199-211. Faraone S.V., Sergeant, J., Gillberg, C., & Biederman, J., (2003). The worldwide prevalence of ADHD: is it an American condition? World Psychiatry. 2, 104-113 Gaub, M., & Carlson, C. L. (1997). Behavioral characteristics of DSM-IV ADHD subtypes in a school-based population. Journal of Abnormal Child Psychology, 25, 103-111. Gordon, M., & Mettelman, B. B. (1988). The assessment of attention: Standardization and reliability of a behavior-based measure. Journal of Clinical Psychology, 44, 682-690. Hartman, C. A., Willcutt, E. G., & Pennington, B. F. (2004). The relation between sluggish cognitive tempo and DSM-IV ADHD. Journal of Abnormal Child Psychology. 32(5), 491-503. Lockwood, K. A., Marcotte, A. C., & Stern, C. (2001). Differentiation of attention-deficit/hyperactivity disorder subtypes: application of a neuropsychological model of attention. Journal of Clinical and Experimental Neuropsychology. 23, 317-330. Mash, E. J., & Barkley, R. A. (Ed). (1996). Child Psychopathology. New York: Guildford press. Nigg, J. T., Blaskey, L. G., Huang-Pollock, C. L., & Rappley, M. D. (2002). Neuropsychological executive functions and DSM-IV ADHD subtypes. Journal of the American Academy of Child and Adolescent Psychiatry. 41, 59-66. Nigg, J. T. (2005). Neuropsychologic Theory and Findings in Attention-Deficit/ Hyperactivity Disorder: The State of the Field and Salient Challenges for the Coming Decade. Biological Psychiatry. 57, 1424-1435. Schachar, R. J., Chen, S., Logan, G. D., Ornstein, T. J., Crosbie, J., Ickowicz, A., & Pakulak, A. (2004). Evidence for an error monitoring deficit in attention deficit hyperactivity disorder. Journal of Abnormal Child Psychology. 32(3), 285-293. Sergeant, J. A., Geurts, H., Huijbregts, S., Scheres, A., & Oosterlaan, J. (2003). The top and the bottom of ADHD: a neuropsychological perspective. Neuroscience and Biobehavioral Reviews. 27, 583-592. Solanto, M.V. (1998). Neuropsychopharmacological mechanisms of stimulant drug action in attention-deficit hyperactivity disorder: a review and integration. Behavioural Brain Research, 94, 127–152. Solanto, M.V.(2002). Dopamine dysfunction in AD/HD: integrating clinical and basic neuroscience research. Behavioural Brain Research, 130, 65-71. Thomas, A. (2001). The myth of the A.D.D. child : 50 ways to improve your child`s behavior and attention span without drugs, labels, or coercion. Plume. 劉瓊瑛譯（民91）。注意力欠缺症兒童的迷思：改善行為和注意力的50招。臺北市：新迪文化。 Umansky, W. & Smalley, B. S.(1997). ADD: Helping your child. Warner Books. 張美惠譯（民86）。ADD兒的世界：透視注意力不集中症。台北市：創意力文化。 Xavier, C. F., & Rosemary, T.(2002). Neuroscience of attention-deficit/ hyperactivity disorder: the search for endophenotypes. Nature Reviews Neuroscience, 3(8), 617. Yang, H. J., Soong, W. T., Chiang, C. N., & Chen, W. J. (2000). Competence and behavioral/emotional problems among Taiwanese adolescents as reported by parents and teachers. Journal of the American Academy of Child and Adolescent Psychiatry. 39(2). 232-239. |
描述: | 碩士 國立政治大學 心理學研究所 91752015 94 |
資料來源: | http://thesis.lib.nccu.edu.tw/record/#G0917520151 | 資料類型: | thesis |
| Appears in Collections: | 學位論文 |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| 52015101.pdf | 94.83 kB | Adobe PDF2 | View/Open | |
| 52015102.pdf | 59.89 kB | Adobe PDF2 | View/Open | |
| 52015103.pdf | 100.55 kB | Adobe PDF2 | View/Open | |
| 52015104.pdf | 89.93 kB | Adobe PDF2 | View/Open | |
| 52015105.pdf | 250.91 kB | Adobe PDF2 | View/Open | |
| 52015106.pdf | 220.62 kB | Adobe PDF2 | View/Open | |
| 52015107.pdf | 122.05 kB | Adobe PDF2 | View/Open | |
| 52015108.pdf | 155.25 kB | Adobe PDF2 | View/Open | |
| 52015109.pdf | 81.78 kB | Adobe PDF2 | View/Open | |
| 52015110.pdf | 157.93 kB | Adobe PDF2 | View/Open |
Google ScholarTM
Check
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.