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題名 複合型注意力缺失／過動疾患兒童執行功能研究
Executive Function in Children with Attention-Deficit/ Hyperactivity Disorder Combined Type
作者 黃敏怡
Huang, Min Yi
貢獻者 姜忠信<br>葉啟斌
黃敏怡
Huang, Min Yi
關鍵詞 注意力缺失過動疾患
複合型注意力缺失過動疾患
執行功能
ADHD
ADHD-combined type
executive function
日期 2012
上傳時間 11-Jul-2013 17:49:42 (UTC+8)
摘要 研究目的 本研究欲了解ADHD-C兒童執行功能的表現型態，並檢視執行功能作業的區辨效能，年齡與智力對執行功能作業表現的預測能力，以及執行功能作業表現與ADHD症狀、行為問題的關聯性。

研究方法 採納30名無與其他精神疾病共病的ADHD-C兒童與30名一般發展兒童作為受試者，探討他們的抑制正在進行反應、干擾控制、語言工作記憶、非語言工作記憶、認知彈性、計畫、語言流暢度、非語言流暢度等八項執行功能，並嘗試以執行功能作業表現區辨兩組兒童。接著，探討年齡與智力對執行功能作業的表現的預測能力，以及各項執行功能作業表現與ADHD症狀、行為問題間的相關。

研究結果 ADHD-C兒童的干擾控制能力、非語言工作記憶能力、認知彈性能力顯著比一般發展兒童差，此三項執行功能作業區辨效能佳，對於ADHD-C兒童與一般發展兒童的整體區辨正確率近80%。而年齡與智力兩項因子只有對工作記憶與流暢度兩種執行功能作業有明顯預測能力。執行功能作業表現與兩組受試者注意力不集中、過動／易衝動症狀均無呈現明顯的關聯性。ADHD-C兒童干擾控制能力與教師所觀察到的焦慮／憂鬱、攻擊行為與呈現負相關、非語言工作記憶能力與注意力問題呈現負相關、認知彈性能力與思考問題呈現負相關。

結論 ADHD-C兒童執行功能問題並非全面性，他們僅在干擾控制能力、非語言工作記憶能力、認知彈性能力這三項執行功能上比一般發展兒童差，這三項執行功能作業的區辨效能佳，這些執行功能問題也與教師觀察到的行為問題有顯著相關，但與ADHD症狀無明顯的關聯性。
Purposes This study examined the executive function pattern in children with ADHD-combined type, and then applied the performance to explore their discriminative ability. In addition, current study also investigated the predictability of age and intelligence on executive function function task performances, the relationship between the executive function task performances and ADHD symptoms, and the relationship between the executive function task performances and behavioral problems.

Methods Thirty children with ADHD-combined type and thirty healthy control children participated in current study. Each participant was tested on the ability of eight different executive functions, including inhibition of an ongoing response, interference control, verbal working memory, non-verbal working memory, cognitive flexibility, planning , verbal fluency, and non-verbal fluency. Their performances were then used to distinguish between the ADHD-C group and the control group. Furthermore, investigate the predictability of age and intelligence on their executive function performance. In addition, examine the correlation between executive function performances and ADHD symptoms, and the correlation between the executive function performances and their behavioral problems reported by their parents and teacher.

Results The performances in interference control, non-verbal working memory, and cognitive flexibility of ADHD-C group were significantly worse than the control group. The discriminative ability of the above three executive function tasks is good, and the overall correct discriminative rate for the ADHD-C group and control group is nearly 80%. Age and intelligence only showed significant predictability for the performance of working memory and fluency. There was no correlation found between participants’ executive function performance and their inattention and hyperactivity/ impulsivity symptoms. Negative correlation was found between interference control of ADHD-C group and anxiety/ depression, aggressive behavior reported by their teachers. In addition, negative correlation was also found between non-verbal working memory and attention problems, and also between cognitive flexibility and thinking problems.

Conclusions The executive function problems on children with ADHD-combined type are not cross all executive function tasks. Current findings showed that children with ADHD-combined type only have difficulty in interference control, non-verbal working memory, and cognitive flexibility. Further analysis also showed good discriminative rate with the above three executive function performances. In addition, current findings showed correlation found only between these executive function performances and their behavioral problems reported by their teachers, but not between their executive function performances and the ADHD symptoms.
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描述 碩士
國立政治大學
心理學研究所
98752020
101
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0098752020
資料類型 thesis
dc.contributor.advisor 姜忠信<br>葉啟斌zh_TW
dc.contributor.author (Authors) 黃敏怡zh_TW
dc.contributor.author (Authors) Huang, Min Yien_US
dc.creator (作者) 黃敏怡zh_TW
dc.creator (作者) Huang, Min Yien_US
dc.date (日期) 2012en_US
dc.date.accessioned 11-Jul-2013 17:49:42 (UTC+8)-
dc.date.available 11-Jul-2013 17:49:42 (UTC+8)-
dc.date.issued (上傳時間) 11-Jul-2013 17:49:42 (UTC+8)-
dc.identifier (Other Identifiers) G0098752020en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/58849-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 心理學研究所zh_TW
dc.description (描述) 98752020zh_TW
dc.description (描述) 101zh_TW
dc.description.abstract (摘要) 研究目的 本研究欲了解ADHD-C兒童執行功能的表現型態，並檢視執行功能作業的區辨效能，年齡與智力對執行功能作業表現的預測能力，以及執行功能作業表現與ADHD症狀、行為問題的關聯性。

研究方法 採納30名無與其他精神疾病共病的ADHD-C兒童與30名一般發展兒童作為受試者，探討他們的抑制正在進行反應、干擾控制、語言工作記憶、非語言工作記憶、認知彈性、計畫、語言流暢度、非語言流暢度等八項執行功能，並嘗試以執行功能作業表現區辨兩組兒童。接著，探討年齡與智力對執行功能作業的表現的預測能力，以及各項執行功能作業表現與ADHD症狀、行為問題間的相關。

研究結果 ADHD-C兒童的干擾控制能力、非語言工作記憶能力、認知彈性能力顯著比一般發展兒童差，此三項執行功能作業區辨效能佳，對於ADHD-C兒童與一般發展兒童的整體區辨正確率近80%。而年齡與智力兩項因子只有對工作記憶與流暢度兩種執行功能作業有明顯預測能力。執行功能作業表現與兩組受試者注意力不集中、過動／易衝動症狀均無呈現明顯的關聯性。ADHD-C兒童干擾控制能力與教師所觀察到的焦慮／憂鬱、攻擊行為與呈現負相關、非語言工作記憶能力與注意力問題呈現負相關、認知彈性能力與思考問題呈現負相關。

結論 ADHD-C兒童執行功能問題並非全面性，他們僅在干擾控制能力、非語言工作記憶能力、認知彈性能力這三項執行功能上比一般發展兒童差，這三項執行功能作業的區辨效能佳，這些執行功能問題也與教師觀察到的行為問題有顯著相關，但與ADHD症狀無明顯的關聯性。		zh_TW
dc.description.abstract (摘要) Purposes This study examined the executive function pattern in children with ADHD-combined type, and then applied the performance to explore their discriminative ability. In addition, current study also investigated the predictability of age and intelligence on executive function function task performances, the relationship between the executive function task performances and ADHD symptoms, and the relationship between the executive function task performances and behavioral problems.

Methods Thirty children with ADHD-combined type and thirty healthy control children participated in current study. Each participant was tested on the ability of eight different executive functions, including inhibition of an ongoing response, interference control, verbal working memory, non-verbal working memory, cognitive flexibility, planning , verbal fluency, and non-verbal fluency. Their performances were then used to distinguish between the ADHD-C group and the control group. Furthermore, investigate the predictability of age and intelligence on their executive function performance. In addition, examine the correlation between executive function performances and ADHD symptoms, and the correlation between the executive function performances and their behavioral problems reported by their parents and teacher.

Results The performances in interference control, non-verbal working memory, and cognitive flexibility of ADHD-C group were significantly worse than the control group. The discriminative ability of the above three executive function tasks is good, and the overall correct discriminative rate for the ADHD-C group and control group is nearly 80%. Age and intelligence only showed significant predictability for the performance of working memory and fluency. There was no correlation found between participants’ executive function performance and their inattention and hyperactivity/ impulsivity symptoms. Negative correlation was found between interference control of ADHD-C group and anxiety/ depression, aggressive behavior reported by their teachers. In addition, negative correlation was also found between non-verbal working memory and attention problems, and also between cognitive flexibility and thinking problems.

Conclusions The executive function problems on children with ADHD-combined type are not cross all executive function tasks. Current findings showed that children with ADHD-combined type only have difficulty in interference control, non-verbal working memory, and cognitive flexibility. Further analysis also showed good discriminative rate with the above three executive function performances. In addition, current findings showed correlation found only between these executive function performances and their behavioral problems reported by their teachers, but not between their executive function performances and the ADHD symptoms.		en_US
dc.description.tableofcontents 致謝 I
摘要 V
Abtract VII
目錄 IX
表目錄 XI
圖目錄 XII

第一章 緒論 1
第二章 文獻探討 2
第一節 注意力缺失／過動症之歷史沿革 2
第二節 注意力缺失／過動症之臨床診斷與工具 3
壹、盛行率 3
貳、臨床診斷準則 4
參、現行診斷之議題與限制 7
第三節 注意力缺失／過動症執行功能之研究 8
壹、ADHD與抑制能力 10
貳、ADHD與工作記憶能力 15
參、ADHD與認知彈性 21
肆、ADHD與計畫能力 24
伍、ADHD與流暢度 28
第四節 執行功能與ADHD症狀及行為問題關聯性之研究 31
第五節 本研究中執行功能作業選擇 35
第六節 研究問題與假設 38
第三章 研究方法 42
第一節 受試者 42
壹、ADHD組 42
貳、控制組 43
第二節 研究工具 43
壹、智能篩檢工具 44
貳、Swanson, Nolan, and Pelham, Version IV（SNAP-IV）中文版 44
參、行為檢核表 45
肆、執行功能作業 45
第三節 研究流程 51
壹、ADHD組 51
貳、控制組 52
第四節 統計分析 53
第四章 研究結果 56
第一節 受試者基本資料 56
第二節 受試者執行功能表現型態及各項執行功能比較 59
壹、受試者執行功能表現型態 59
貳、各項執行功能比較 61
第三節 執行功能作業之區辨效能 64
第四節 年齡與智力對受試者各項執行功能作業表現的預測能力 66
第五節 各項執行功能作業與SNAP-IV分量表分數之相關 68
第六節 各項執行功能作業與CBCL及TRF分量表分數之相關 70
第五章 討論與建議 75
第一節 討論 75
壹、ADHD之執行功能 75
貳、執行功能作業之區辨效能 78
參、年齡與智力對執行功能作業表現之預測能力 79
肆、執行功能作業表現與ADHD症狀及行為問題關聯性 82
伍、結論 84
第二節 研究貢獻 85
第三節 研究限制與後續研究方向 87
參考文獻 90
附錄一 受試者同意書 100
附錄二 教師版受試者同意書 107
附錄三 SNAP-IV中文版 112
附錄四 停止訊號作業指導語 113		zh_TW
dc.format.extent 4929177 bytes-
dc.format.mimetype application/pdf-
dc.language.iso en_US-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0098752020en_US
dc.subject (關鍵詞) 注意力缺失過動疾患zh_TW
dc.subject (關鍵詞) 複合型注意力缺失過動疾患zh_TW
dc.subject (關鍵詞) 執行功能zh_TW
dc.subject (關鍵詞) ADHDen_US
dc.subject (關鍵詞) ADHD-combined typeen_US
dc.subject (關鍵詞) executive functionen_US
dc.title (題名) 複合型注意力缺失／過動疾患兒童執行功能研究zh_TW
dc.title (題名) Executive Function in Children with Attention-Deficit/ Hyperactivity Disorder Combined Typeen_US
dc.type (資料類型) thesisen
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