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目的:了解强迫性障碍(OCD)和注意缺陷多动障碍(ADHD)男性患儿延迟厌恶的特点以及与正常对照组的差异。方法:选取符合疾病和有关健康问题的国际统计分类第十次修订本(ICD-10)诊断标准的门诊8~16岁OCD男性患儿40例,ADHD男性患儿40例,以及年龄、性别、智商匹配的正常对照儿童40例,运用选择延迟任务1、2分别进行常态和高态生态效度的延迟厌恶研究,任务的等待时间和得分反映各组常态生态效度和高态生态效度下延迟厌恶功能。结果:OCD组选择延迟任务1[(30.9±3.2)vs.(27.6±3.8)]和选择延迟任务2[(31.3±4.4)vs.(28.5±4.9)]得分均高于正常对照组(P<0.001),ADHD组选择延迟任务1[(25.0±4.3)vs.(27.6±3.8)]和选择延迟任务2[(26.2±4.6)vs.(28.5±4.9)]得分低于正常对照组(P<0.001)。结论:OCD男孩更倾向于选择等待时间长而得分高的任务,而ADHD男孩更倾向于选择等待时间短而得分低的任务,提示该任务反映的多动/冲动控制的发病机制在OCD和ADHD延迟厌恶中可能不同。
OBJECTIVE: To investigate the characteristics of delayed obstruction in male obsessive-compulsive disorder (OCD) and attention deficit / hyperactivity disorder (ADHD) patients and their differences with normal controls. METHODS: Forty OCD male patients aged 8-16 years, 40 ADHD male children and 40 children with ADHD were enrolled in this study according to the diagnostic criteria of ICD-10, which were in line with ICD-10. The age, gender, 40 cases of normal control children with IQ matching were selected for delayed tasks 1 and 2, respectively, to study the delayed aversion of normal and high ecological validity. The task waiting time and score reflected the normal ecological validity and high ecological validity of each group Delay aversion Results: The OCD group had significantly higher scores for delayed task 1 (30.9 ± 3.2) vs. (27.6 ± 3.8) and selective delayed task 2 (31.3 ± 4.4 vs. 28.5 ± 4.9) <0.001), ADHD group selected delayed task 1 (25.0 ± 4.3) vs. (27.6 ± 3.8)] and delayed task 2 (26.2 ± 4.6 vs. 28.5 ± 4.9) P <0.001). Conclusion: OCD boys prefer to wait for a long time and scored high scores, while ADHD boys prefer to wait for short waiting time and score low, suggesting that the task reflects the hyperactivity / impulse control pathogenesis in OCD and ADHD Delay may be different in disgust.