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2001, Number 4

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Salud Mental 2001; 24 (4)

Análisis neuropsicológico de las características cognoscitivas de un grupo de adolescentes con trastorno por déficit de atención

Galindo VG, Peña F, Rosa N, Robles E, Salvador J, Cortés JF

Language: Spanish
References: 27
Page: 50-57
PDF size: 143.29 Kb.


ABSTRACT

According to the bibliography, little is known about the neuropsychological characteristics of patients with attention deficit disorder (ADD), and the current tendency in investigation has been centered in the study of the executive functioning, without taking into consideration other cognitive aspects. This study evaluated more widely the cognitive abilities of a group of 30 ADD adolescents (age mean = 17.1; SD = 2.1) with the Wechsler Adult Intelligence Scale (WAIS) and Rey’s Complex Figure. The different functions implied in problem solution were analyzed for generating a plausible model which could explain the interrelation of the cognitive characteristics of the group. Patients obtained a total I.Q. average within the normal range (mean = 102.3, SD = 7.5), without significative discrepancies between the values of verbal I.Q. and execution. The factorial analysis of the 11 WAIS subscales generated four factors explaining 74.1% of the total variance, two of which significantly correlated with the total I.Q alue. A trajectory analysis was also made by means of multiple lineal regression for establishing the hypothetical model to be confirmed, and an structural analisis with the AMOS program. The model obtained presented a good adjustment percentage with the empiric data (78.9%; with a 0.067 error). The copy essay score in Reys Complex Figure, as well as in the memory essay, was significantly below the established parameters for the mean of the population. Therefore, it is concluded that the WAIS I.Q. value does not discriminate the group of patients, but it discriminates the interrelations between the different subscales. Significative disorders were also found in graphic ability, which as in the disorders in excecutive functioning could also be characteristic of this type of patients, thus supporting the hypothesis of an involvement of the functioning of the right cerebral hemisphere in DAA.


REFERENCES

  1. AMERICAN PSYCHIATRIC ASSOCIATION: Diagnostic and Statistical Manual of Mental Disorder. 4th ed. p. 78-85, Washington, 1994.

  2. ARBUCKLE JL: Amos Users’ Guide Version 3.6. SmallWaters Corporation, Chicago, 1997.

  3. BARKLEY R: Behavioral inhibition, sustained attention, and executive functions: constructing a unifying theory of ADHD. Psychological Bulletin, 121(1):65-94, 1997.

  4. CARTER CS, KRENER P, CHADERJIAN M, NORTHCUTT C, WOLFE V: Asymmetrical visual-spatial attentional performance in ADHD: Evidence for a right hemispheric deficit. Society of Biological Psychiatry, 37:789-797, 1995a.

  5. CARTER CS, KRENER P, CHADERJIAN M, NORTHCUTT C, WOLFE V: Abnormal processing of irrelevant information in attention deficit hyperactivity disorder. Psychiatry Research, 56:59-70, 1995b.

  6. CORTES JF, GALINDO G, SALVADOR J: La Figura Compleja de Rey: propiedades psicométricas. Salud Mental, 19(3):42-48, 1996.

  7. CORTES JF, SALVADOR J, GALINDO G: Escala de Inteligencia para Adultos de Wechsler como un conjunto de paradigmas neuropsicológicos que evalúan la capacidad para resolver problemas. Salud Mental, 22(6):8-28, 1999.

  8. DE LA PEÑA F, PATIÑO M, MENDIZABAL A, CORTES J, CRUZ E, ULLOA RE, VILLAMIL V, LARA MC: Entrevista semiestructurada para adolescentes (ESA),características del instrumento y estudio de confiabilidad interevaluador y temporal. Salud Mental, 21(4):11-17, 1998.

  9. FARAONE SV, BIEDERMAN J, WEBER W, RUSSELL R: Psychiatric, neuropsychological, and psychosocial features of DSM-IV subtypes of attention-deficit/hyperactivity disorder: results from a clinically referred sample. J American Academic Child Adolescence Psychiatry, 37(2):185-193, 1998.

  10. GALINDO G, SALVADOR J, CORTES J, CHATELAIN L, RIOS B, SAN ESTEBAN JE: Fase Piloto Hacia la Estandarización de la Figura Compleja de Rey-Osterrieth. Salud Mental, 15 4):21-27, 1992.

  11. GALINDO G, CORTES JF, SALVADOR J: Diseño de un nuevo procedimiento para calificar la Figura Compleja de Rey: confiabilidad inter-evaluadores. Salud Mental, 19(2):1- 6, 1996.

  12. GANSLER DA, FUCETOLA R, KRENGEL M,STETSON S, ZIMERING R, MAKARY C: Are there cognitive subtypes in adult attention deficit/hyperactivity disorder?. J Nervous Mental Disease, 186:776-781, 1998.

  13. HOUGHTON S, DOUGLAS G, WEST J, WHITING K, WALL M, LANGSFORD S, POWELL L, CARROLL A: Differential patterns of executive functions in children with attention deficit hyperactivity disorder according to gender and subtype. J Child Neurology, 14:801-805, 1999.

  14. KLORMAN R, HAZEL-FERNANDEZ LA, SHAYWITZ SE, FLETCHER J, MARCHIONE KE, HOLAHAN JM, STUEBING KK, SHAYWITZ BA: Executive functioning in attention-deficit/hyperactivity disorder are independent or oppositional defiant or reading disorder. J American Academy Child Adolescent Psychiatry, 38(9):1148-1155, 1999.

  15. LEZAK MD: Neuropsychological Assessment. 3a. Ed. Oxford University Press, Nueva York, 1995.

  16. ORGANIZACION MUNDIAL DE LA SALUD: CIE-10 Trastornos Mentales y del Comportamiento. Descripciones Clínicas y Pautas para el Diagnóstico. Meditor, p.321-325, Madrid, 1992.

  17. OZONOFF S, JENSEN J: Brief report: specific executive function profiles in three neurodevelopmental disorders. J Autism Developmental Disorders, 29(2):171-177, 1999.

  18. PARUSH S, SOHMER H, STEINBERG A, KAITZ M: Somatosensory functioning in children with attention deficit hyperactivity diosrder. Developmental Medical Child Neurology, 39(7):464-468, 1997.

  19. PEREZ-ALVAREZ F, TIMONEDA C: El hipercinético a la luz del PASS. Revista Neurología, 28:472-475, 1999.

  20. PURVIS KL, TANNOCK R: Language abilities in children with attention deficit hyperactivity disorder, reading disabilities, and normal controls. J Abnormal Child Psychology, 25(2):133-144, 1997.

  21. RAGGIO DJ: Visuomotor perception in children with attention deficit hyperactivity disorder-combined type. Perceptual Motor Skills, 88:448-450, 1999.

  22. SALVADOR J, CORTES JF, GALINDO G: Propiedades Cualitativas en la Ejecución de la Figura Compleja de Rey a lo Largo del Desarrollo en Población Abierta. Salud Mental, 19(4):22-30, 1996.

  23. SHAYWITZ BA, FLETCHER JM, SHAYWITZ SE: Attention deficit/hiperactivity disorder. Advance Pediatric, 44:331-367, 1997.

  24. SWANSON J, CASTELLANOS FX, MURIAS M, LAHOSTE G, KENNEDY J: Cognitive neuroscience of attention deficit hyperactivity disorder and hyperkinetic disorder. Current Opinion Neurobiology, 8:263-271, 1998.

  25. WECHSLER D: WAIS-Español. Escala de Inteligencia para Adultos. El Manual Moderno, México, 1981.

  26. WEISS G: Attention Deficit Hyperactivity Disorder. En: Lewis M (Ed). Child and Adolescent Psychiatr y A Comprehensive Textbook. Williams & Wilkins, p.545-561, Baltimore, 1992.

  27. ZAMETKIN AJ, LIOTTA W: The neurobiology of attention-deficit/hyperactivity disorder. J Clinical Psychiatry, 59(supl.7):17-23, 1998.




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