中文化與電腦化的『聽覺注意與反應分測驗』：注意力缺陷過動疾患與一般兒童的表現

Chinese and Computerized Version of Auditory Attention and Response Set: Performance of ADHD and Control Children

黃尚怡(Shang-Yi Huang)

指導教授 ： 盧小蓉

中原大學/理學院/心理學研究所/碩士(2004年)

https://doi.org/10.6840/cycu200400349

摘要

摘要

目的：本研究希望發展適用於國內鑑別診斷注意力缺陷過動疾患的注意力測驗，期望這些測驗在臨床使用上方便，同時初步地蒐集不同感覺管道的注意力表現。因此將AARS中文化與電腦化，並探討中文化與電腦化的AARS在國內之可行性，期待協助臨床工作者鑑別診斷注意力缺陷過動疾患兒童。方法：作業參照原版AARS測驗架構，設計出三種注意力測驗（中文版AARS、電腦化聽覺注意力測驗、電腦化視覺注意力測驗，分別簡稱作業一、作業二、作業三）。研究採組別×作業二因子混合設計方式。研究對象分為過動組與控制組，各24名，5歲至9歲的兒童。結果：過動組在各作業表現均顯著比控制組差。整體而言，以作業三表現最好、作業二表現最差。作業一具有最高的組別區辨正確率。結論：中文化AARS的分數不適於參照原版常模。其中原因可能包括中文化過程中測驗的改變以及受試者文化背景不同等。本研究三種作業均可用以協助區分ADHD患者與一般兒童。未來研究可以根據現有三種注意力測驗為基礎，進行信效度研究，建立國內常模。

關鍵字

注意力缺陷過動疾患 ； 持續性注意力測驗

並列摘要

Abstract

Objective: The purpose of this study was to develop testing tools to facilitate diagnosing children with Attention-Deficit/Hyperactivity Disorder (ADHD). Such tools must be appropriate for Taiwan’s language and culture, and be clinically easy to use. A secondary purpose was to explore attention via different sensory modalities. Thus the Auditory Attention and Response Set (AARS) subtest of the NEPSY was translated and computerized, in the hope that this preliminary study provided some data to evaluate the utility of the AARS in Taiwan and the feasibility of computerizing this task. Method: Three tests of attention were developed based on the English version of the AARS (Chinese AARS, Computerized Auditory Attention Test, Computerized Visual Attention Test; hereafter referred to as Tasks 1, 2, 3 respectively). Study design was Group X Task, two factors mixed design. Groups consisted of ADHD and Control groups. There were 24 5- to 9-year-old children in each group. Results: Children with ADHD performed worse than controls on every task. In general, scores were highest on Task 3, lowest on Task 2. Task 1 discriminated groups with the best accuracy. Conclusion: It is inappropriate to interpret scores from the Chinese AARS using the English norms. Changes made during the translation process and cultural factors both contributed to the inappropriateness of using the English norms. All three tasks can help discriminate children with ADHD from controls. Future studies to examine the reliability and validity of these three tasks, as well as local Taiwanese norms are needed.

並列關鍵字

ADHD ； attention test

參考文獻

侯伯勳、林志堅、遲景上、陳展航（民92）。臺中地區某國小低年級學童注意力不足過動症候群盛行率初探。慈濟醫學雜誌，15（3），163-167。

黃惠玲、王雅琴、郭乃文、蔡淑貞(民83)。注意力不足過動症兒童在神經心理測驗上的表現。高雄醫學科學雜誌，10， 157-164。

洪儷瑜、張郁雯、丘彥南、蔡明富（民91）。問題行為篩選量表指導手冊：注意力缺陷過動症學生學校輔導手冊。國立台灣師範大學特殊教育系。教育部特殊教育工作小組發行。

余信珠（民92）。注意力缺陷過動疾患兒童在魏氏兒童智力測驗上表現之研究。中原大學心理學研究所，碩士論文。

周映君(民87)。注意力缺陷過動症兒童之注意力研究。高雄醫學院行為科學研究所，碩士論文。