A Selective Review of the Effect of Self-Regulation Strategies on Response Inhibition in Children with ADHD

自我調控策略對注意力不足過動症兒童反應抑制的影響之選擇性回顧

洪川茹(Shuan-Ju Rita Hung) ； Caterina Gawrilow

《華醫學報》 45期 (2016/12) Pp. 110-131

摘要

Attention deficit hyperactivity disorder (ADHD) is a common clinical disorder observed in children. The prevalence rate in school-age children is approximately 5-10% and inattention, hyperactivity, and impulsivity are core symptoms of ADHD. An underlying deficit in inhibitory control has been proposed to account for dysfunctional behaviors associated with this disorder. Furthermore, recent research has shown that the self-regulation strategy of implementation intentions is effective for improving inhibitory control in children with ADHD. This article, therefore, reviews research related to response inhibition in ADHD including behavioral and electrophysiological studies exploring the effect of self-regulation strategies on response inhibition of children with ADHD in experimental settings or in schools. This review is expected not only to provide clinical psychologists or teachers with an effective behavioral strategy for the treatment of children with ADHD from the perspective of behavioral treatment but also to provide future research with several possible factors that may influence the application of implementation intentions.

關鍵字

attention deficit hyperactivity disorder ； implementation intentions ； response inhibition ； self-regulation

並列摘要

注意力不足過動症（簡稱過動症）為一常見於孩童的臨床疾患。學齡兒童的盛行率約5-10%。患有過動症的孩童（簡稱過動兒）的核心症狀為注意力不足、過動和衝動。之前研究指出，抑制功能的缺損可能導致與此疾患相關的功能失調。近來，相關研究顯示，運用執行意向此自我調控策略可以有效地改善過動兒的行為抑制能力。因此，本論文選擇性地回顧和過動症反應抑制相關的研究以及探討自我調控策略在實驗室或學校等不同情境下對過動兒反應抑制之影響的行為及電生理研究。藉由本論文的回顧，除了盼望能從行為治療的觀點提供臨床領域的專業人員或教師在過動兒的治療上一個有效的行為策略，也能提供未來研究數個會影響執行意向運用的因子。

並列關鍵字

注意力不足過動症 ； 執行意向 ； 反應抑制 ； 自我調控