注意分散型注意缺陷多动障碍学生智测结果分析

Analysis of intelligence in students with predominantly inattentive type of attention deficit hyperactivity disorder

【目的】通过探讨注意分散型注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)学生智力测试智商水平以及分测验结构,以了解这一人群的智商发育情况。【方法】采用韦氏儿童智力量表中国修订本(WISC-CR)对107例注意分散型ADHD儿童进行智力测定。【结果】107例注意分散型ADHD儿童韦氏智力测试总智商(in-telligence quotient,IQ)为(97.86±15.01),呈正态分布,操作IQ优于言语IQ(P<0.001);言语IQ与操作IQ存在不平衡者(即言语与操作IQ差值≥15者)共48例,占44.86%,以操作IQ>言语IQ多见(40例)。【结论】注意分散型ADHD学生中,智商发展不平衡者较多见,在分析智测结果时,重视儿童在测试时的行为表现以及分项测试结果,淡化总-IQ,合理引导儿童及家长可能更具有现实意义。

【Objective】 To study the intelligence developmental status of students with predominantly inattentive type of attention deficit hyperactivity disorder（ADHD）.【Method】 Using Wechsler Intelligence Scale for Children-Revised（WISC-CR）,the intelligence test for 107 students were done with predominantly inattentive type of ADHD.【Results】 The mean full intelligence quotient（IQ） of 107 students with predominantly inattentive type of ADHD was 97.86±15.01,reaching a normal distribution.And the performance intelligence quotient（PIQ）was much better than the verbal intelligence quotient（VIQ）（P0.001）.In this population,there were 48 students with large imbalance of verbal and performance IQ,which accounted for 44.86% of the total amount.Most of them（40 cases） showed better performance IQ.【Conclusions】 There are much more intelligence developmental imbalance in students with predominantly inattentive type of ADHD.When analyzing the results of intelligence test,it is more important to concentrate on the students＇ performance and subtests score than the IQ results only.