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篇名 Self-Reported Executi ve Functi on Defi cits in a Community Sample of Adults with Att enti on Defi cit Hyperacti vity Disorder
卷期 29:2
並列篇名 注意力不足過動症社區成人的自陳執行功能缺失
作者 張文彬
頁次 021-040
關鍵字 執行功能注意力不足過動症成人區辨功能分析Executive functionAttention deficit hyperactivity disorderAdultsDiscriminant function analysisTSCI
出刊日期 201112

中文摘要

本篇文章的研究目的旨在透過成人版執行功能評量表來探討患有注意力不足過動症的成人是否有執行功能問題。另外,本研究也探討此評量表能否準確辦別正常與注意力不足過動症的成人。兩組介於18至30歲之間的大學生參與本研究。一組為 32位平均年齡23.7歲(標準差為3.7)的正常人,另一組則為36位平均年齡23.7歲(標準差為3.7)診斷為注意力不足過動症的成人。多變量分析結果發現與正常組相較,注意力不足過動症的成人有顯著的執行功能障礙 (Wilks'λ = .44,F(12,55) = 5.77, p < .0005, η²p = .56)。區辨功能分析顯示此評量表有77.9% 的準確度能辦別正常與注意力不足過動症的成人。本研究的結果指出注意力不足過動症成人持續會有執行功能障礙,而成人版執行功能評量表具有良好的區辨效度。

英文摘要

The purposes of this study were twofold: (1) to examine self-reported problems with executive function in adults who have attention deficit hyperactivity disorder (ADHD), using the Behavior Rating Inventory of Executive Function-Adult version (BRIEF-A); and (2) to determine whether the BRIEF-A can discriminate between adults with and without ADHD.
Two groups of college students between the ages of 18 and 30 participated in this study. The control group consisted of 32 adults who reported no known disorders (mean age: 23.7 ±3.7). The ADHD group was composed of 36 adults who reported having an ADHD diagnosis via either psychiatrists or psychologists (mean age: 23.7 ± 3.7). The multivariate analysis of
variance indicated that adults who had ADHD had significantly more self-reported executive function problems compared to healthy counterparts (Wilks’ λ = .44, F(12,55) = 5.77, p< .0005, η²p = .56). The discriminant function analyses revealed that the BRIEF-A could appropriately classify adults with and without ADHD with 77.9% accuracy. This study showed that adults who have ADHD continue to experience difficulties in executive function,and that the BRIEF-A shows good discriminant validity in this population.

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