Research on executive function of attention-deficit/hyperactivity disorder comorbidity with oppositional defiant disorder in preschool children
10.3760/cma.j.issn.1006-7884.2018.03.005
- VernacularTitle:学龄前儿童注意缺陷多动障碍共患对立违抗障碍执行功能的研究
- Author:
Jingxue PAN
1
;
Jinsong ZHANG
1
;
Lan SHUAI
1
;
Huifeng ZHANG
1
;
Tengfei LU
1
Author Information
1. 200092,上海交通大学医学院附属新华医院临床心理科教育部和上海市环境与儿童健康重点实验室
- Publication Type:Journal Article
- Keywords:
Child,preschool;
Attention deficit and disruptive behavior disorders;
Executive function
- From:
Chinese Journal of Psychiatry
2018;51(3):182-187
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the executive function of preschoolers with attention-deficit/ hyperactivity disorder(ADHD),and comorbid of oppositional defiant disorder (ODD),and analyze the correlation between executive function and ADHD,executive function and ODD symptom.Methods The 234 ADHD preschool children enrolled in this study,aged 4y0m-5y11 m(including 191 children with ADHD and 43 with ADHD+ ODD),met both the clinical diagnosis with DSM-5 criteria and the interview diagnosis by Diagnostic Infant and Preschool Assessment.Total of 115 healthy normal children with the similar age to the ADHD children were as control.Behavior Rating Scale of Executive Function-Preschool Version (BRIEF-P) and Chinese Version of Swanson Nolan and Pelham,Version Ⅳ Scale-parent Form (SNAP-Ⅳ)were used to evaluate executive function,symptoms of ADHD and ODD respectively.Covariance and partial correlation analysis were applied to explore the relation between executive function and symptoms of ADHD and ODD.Results The comorbidity rate of ADHD with ODD among preschoolers in this research was 18.4％ (43/234),no significant difference was found between two genders (18.6％ and 17.5％ in boys and girls respectively,x2=0.03,P＞0.05).There was no significant difference in the age among the three groups.There were significant differences in gender (x2=22.33,P＜0.01)and intelligence quotient (IQ;F=15.87,P＜0.05) among the three groups.After the gender,IQ and scores of inattention and hyperactivity were controlled,domains of BRIEF-P (except for working memory and metacognition index) among ADHD+ODD children were significantly higher than those in ADHD children (all P＜0.01).Besides,partial correlation analysis showed a positive correlation between ODD symptom and executive function (except for working memory;r=0.11-0.49,all P＜0.01).The correlation was still positive between ADHD symptom and executive function when gender,IQ and ODD symptom were statistically controlled (r=0.16-0.70,all P＜0.01).Conclusions Compared with that in normal preschool children,the executive function in children with ADHD only or ADHD combined ODD are damaged.There is a significant positive correlation between executive function and ADHD,ODD symptom in preschool children.
