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Intellectual characteristics of children with attention deficit hyperactivity disorder and developmental dyslexia
YU Zhen-Zhu, YANG Bin-Rang, ZHANG Shan-Hong, WANG Peng
Chinese Journal of Contemporary Pediatrics ›› 2021, Vol. 23 ›› Issue (2) : 148-152.
PDF(1205 KB)
PDF(1205 KB)
Intellectual characteristics of children with attention deficit hyperactivity disorder and developmental dyslexia
Objective To study the intellectual characteristics of children with attention deficit hyperactivity disorder (ADHD) and developmental dyslexia (DD). Methods A total of 55 children with ADHD and DD (ADHD+DD group), 150 children with ADHD alone (ADHD group), and 22 children with DD alone (DD group) were enrolled as subjects. Wechsler Intelligence Scale for Children-Fourth Edition (WISC-IV) was used to evaluate and compare intellectual characteristics among the three groups. Results There were significant differences in the scores of full-scale intelligence quotient (FSIQ), verbal comprehension index, perceptual reasoning index, and working memory index among the three groups (P < 0.05):the ADHD+DD group had significantly lower scores of FSIQ, verbal comprehension index, perceptual reasoning index, and working memory index than the ADHD group, as well as a significantly lower FSIQ score than the DD group. A comparison of the 10 core subtests in WISC-IV showed that compared with the ADHD group, the ADHD+DD group had significantly lower scores of similarities, vocabulary, comprehension, recitation, picture concepts, matrix reasoning, and letter-number sequencing (P < 0.05). Compared with the DD group, the ADHD+DD group had significantly lower scores of vocabulary, similarities, picture concepts, matrix reasoning, and recitation (P < 0.05). Conclusions Compared with the children with ADHD alone, the children with ADHD and DD have more severe impairment of FSIQ, verbal comprehension, perceptual reasoning, and working memory, and therefore, it is suggested to enhance the training on similarities, vocabulary, matrix reasoning, picture concepts, and recitation for children with ADHD and DD in clinical practice.
Attention deficit hyperactivity disorder / Dyslexia / Intelligence / Child
[1] Thomas R, Sanders S, Doust J, et al. Prevalence of attention-deficit/hyperactivity disorder:a systematic review and meta-analysis[J]. Pediatrics, 2015, 135(4):e994-1001.
[2] 王久菊, 孙黎, 舒华, 等. 注意缺陷多动障碍共患阅读障碍:认知-脑-基因的多维度研究进展[J]. 生物化学与生物物理进展, 2020, 47(11):1135-1144.
[3] Rosenberg J, Pennington BF, Willcutt EG, et al. Gene by environment interactions influencing reading disability and the inattentive symptom dimension of attention deficit/hyperactivity disorder[J]. J Child Psychol Psychiatry, 2012, 53(3):243-251.
[4] 张微, 周兵平, 何梅, 等. 阅读障碍与注意缺陷多动障碍儿童的语言加工和反应抑制[J]. 心理科学, 2016, 39(4):893-899.
[5] Turker S, Seither-Preisler A, Reiterer SM, et al. Cognitive and behavioural weaknesses in children with reading disorder and AD(H)D[J]. Sci Rep, 2019, 9(1):15185.
[6] 王恩聪, 孙黎, 宋艳, 等. 注意缺陷多动障碍儿童阅读能力初探[J]. 中国心理卫生杂志, 2014, 28(6):434-439.
[7] American Psychiatric Association. Diagnostic and statistical manual of mental sisorders DSM-IV[M]. 4th ed. Washington:American Psychiatric Association, 1994:509-521.
[8] Kaufman J, Birmaher B, Brent D, et al. Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL):initial reliability and validity data[J]. J Am Acad Child Adolesc Psychiatry, 1997, 36(7):980-988.
[9] Xue J, Shu H, Li H, et al. The stability of literacy-related cognitive contributions to Chinese character naming and reading fluency[J]. J Psycholinguist Res, 2013, 42(5):433-450.
[10] 李毓秋. WISC-IV中文版的一般能力指数和认知效率指数的介评[J]. 教育测量与评价(理论版), 2010(12):4-7.
[11] Parke EM, Thaler NS, Etcoff LM, et al. Intellectual profiles in children with ADHD and comorbid learning and motor disorders[J]. J Atten Disord, 2020, 24(9):1227-1236.
[12] Evans JJ, Floyd RG, McGrew KS, et al. The relations between measures of Cattell-Horn-Carroll (CHC) cognitive abilities and reading achievement during childhood and adolescence[J]. School Psych Rev, 2002, 31(2):246-262.
[13] 张姗红, 王鹏, 钟舒明, 等. 伴阅读困难的注意缺陷多动障碍儿童的认知功能[J]. 中国心理卫生杂志, 2019, 33(6):447-452.
[14] 张厚粲. 韦氏儿童智力量表第四版(WISC-Ⅳ)中文版的修订[J]. 心理科学, 2009, 32(5):1177-1179.
[15] 臧玲, 张微, 刘华山. 韦氏儿童智力量表第四版对学习障碍评估和干预的价值[J]. 中国特殊教育, 2012(7):67-73.
