注意缺陷多动障碍患者面部表情识别障碍的研究

Study about recognition of emotional facial expressions in attention-deficit hyperactivity disorder

目的探讨注意缺陷多动障碍患者（ADHD）是否存在面部表情识别障碍。方法采用宾夕法尼亚大学情绪识别测试系统，对38例注意缺陷多动障碍患者和36例正常对照进行面部表情识别的测试，并对96张六种不同的面部表情测试结果按高低不同强度和不同表情分类，应用SPSS进行统计分析。结果注意缺陷多动障碍患者组对各类面部表情的总的识别率[（0．54±0.09）]低于正常对照组[（0．58±0．06）]，P〈0．05，其中对低强度面部表情的识别率注意缺陷多动障碍患者组也低于正常对照组[ADHD组（0．42±0．10），对照组（0．48±0．08），P〈0．05]；对不同面部表情进行比较，注意缺陷多动障碍患者组对恐惧和厌恶表情的识别率要明显低于正常对照组，差异有显著性。而2组间对愤怒、愉快、悲伤以及中性面部表情的识别未发现明显差别。结论注意缺陷多动障碍患者存在一定的面部表情识别障碍。

Objective To study whether there is a dysfunction in recognition of emotional facial expressions in patients with attention-deficit hyperactivity disorder（ADHD）. Methods 38 patients with ADHD and 36 normal controls took emotional facial expressions test and accuracy rate recorded. Results Compared with normal control group, patients in ADHD performed worse in recognition of emotional facial expressions with lower accuracy rate. Conclusion Patients with ADHD have a dysfunction in recognition of emotional facial expressions.