不同亚型注意缺陷多动障碍儿童的社会功能状况研究

Research of social functional status in different ADHD subtypes children

目的调查不同亚型注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童社会功能状况,为科学的临床干预提供科学依据。方法采用Weiss功能缺陷量表(Weiss Functional Impairment Rating Scale-Parent Report,WFIRS-P)评价ADHD儿童的社会功能,比较ADHD组与正常儿童组的社会功能状况,分析不同亚型ADHD儿童的社会功能的差异。结果 ADHD组在家庭、学习/学校、生活技能、自我观念、社会活动、冒险活动6个维度社会功能均明显低于对照组,两组差异均有统计学意义(P<0.001);混合组(ADHD-C组)在各维度社会功能损害较注意缺陷组(ADHD-I组)、多动冲动组(ADHD-HI组)明显(P<0.05);ADHD-HI组在家庭功能损害比ADHD-I组明显(P=0.001),但在其他5个维度方面差异无统计学意义(P>0.05)。结论 ADHD儿童存在社会功能缺陷,不同亚型ADHD在社会功能损害上存在差异。

Objective To study the characteristics of social functional status in different attention deficit hyperactivity disorder （ADHD） subtypes children. Methud Social function of ADHD children was evaluated by Weiss functional im- pairment rating scale-parent report（WFIRS-P）, social function of ADHD group was compared with normal children group, and then the differences of social functional impairment were analyzed in different ADHD subtypes. Results ADHD chil- dren had deficits in 6 dimensions of social function including family, school, life skills, child＇s self-concept, social activities, risky activities. There was significant difference between ADHD group and normal group（P〈0. 001）. The 6 dimensions of social functional impairment in ADHD-C group were more serious than that in ADHD-I group and ADHD-HI group. There was significant difference in dimension of family between ADHD-I group and ADHD-HI group（P= 0. 001）, but no significant difference was found in other 5 dimensions（P〉0.05）. Cenclusiens ADHD children have impairment in social function,and there is different social functional impairment in different ADHD subtypes.