韦氏儿童智力量表第四版在注意缺陷多动障碍儿童智力结构分析中的应用

【目的】 探讨注意缺陷多动障碍(attention deficit hyperactivity disorder,ADHD)儿童在韦氏儿童智力量表第四版(Wechsler Intelligence Scale for Children-The Fourth Vision,WISC-IV)测试中的智力结构特征。 【方法】 按照美国《精神障碍诊断和统计手册》第四版(Diagnostic and Statistical Manual,Vision IV,DSM-IV)诊断标准确诊的ADHD儿童55名,按性别匹配以系统抽样的方法收集正常儿童55名作为对照组。使用WISC-IV测量ADHD儿童和正常儿童的智力分布和结构特点并进行比较。 【结果】 ADHD儿童的总智商及四个合成指数的得分均较正常儿童低,差异有统计学意义(P<0.05);各分测验上ADHD儿童的积木、背数、图画概念、字母排序、矩阵推理和符号检索等分测验的得分较对照组低,差异具有统计学意义(P<0.05)。 【结论】 WISC-IV应用于ADHD儿童的临床诊疗工作中,显示出一定的优势和特点,提示在临床工作中可以进行针对性的辅导和训练。

Intelligence structure characteristic of attention deficit hyperactivity disorder children in WISC-IV

【Objective】 To explore the intelligence structure characteristic of Attention Deficit Hyperactivity Disorder Children in WISC-IV.【Method】 55 children who were diagnosed according to Diagnostic and Statistical Manual,Vision IV were selected,and 55 normal children with gender matched were selected by systematic sampling method.WISC-IV were used to test and analyze the intelligence distribution and structure of these children.【Results】 The FSIQ and other 4 index scores of ADHD children were lower than that of normal children with statistical difference(P<0.05).In the subtests,the BD,DS,PCn,LN,MR and SS scores of ADHD children were lower than those of normal children with statistical difference(P<0.05).And the factor IV-impulse-hyperactivity index of Conners Child Behavior Rating Scale was negatively correlated with the FSIQ,PRI and WMI scores(P<0.05).【Conclusion】 WISC-IV shows some advantage and feature in clinical diagnosis and treatment work of ADHD,and we can do some nichetargeting coach and training in clinical work and nursing care service.