바로가기메뉴

본문 바로가기 주메뉴 바로가기

logo

Executive Function Deficits in a Child and Adolescent psychiatric Population

Abstract

The present study aimed to examine the different deficits of executive functions in children and adolescents with a diverse range of diagnoses of ICD-10. The subject(n= 49) aged 11 to 18 years belonged to 5 diagnosis groups which were as follows: eating disorder (ED), neurotic disorder, conduct disorder (CD), hyperkinetic disorder (HKD), and schizophrenia. The subjects were compared on a neuropsychiatric test battery consisted of the following 4 executive function tasks according to the narrow definition of EF: WCST perseverative error, TOH move, TMT Part B, and CPT nogo. The 5 diagnostic groups were distinguished significantly on the variables, perseveration(set-shifting), cognitive flexibility, passive avoidance (inhibition), but they didn't be on behavior planning. The schizophrenic patients performed significantly worse than 4 other psychiatric groups on the perseveration(set-shifting) and cognitive flexibility. The patients with HKD showed the significant worse performance than the rest 4 groups in regards to passive avoidance (inhibition). The patients with ED presented with a perseveration(set-shifting) more deficit than the rest groups without schizophrenia, but it did not reach statistical significance. These findings suggest that the specificity of EF for specific diagnosis groups exists, i. e. there are quality differences of EF between diagnosis groups.

keywords
executive function, schizophrenia, hyperkinetic disorder, eating disorder, neurotic disorder, conduct disorder, executive function, schizophrenia, hyperkinetic disorder, eating disorder, neurotic disorder, conduct disorder, 실행능력, 정신분열병, 과잉행동장애, 섭식장애, 신경증장애, 품행장애

Reference

1.

(1999) 주의력 결핍/과잉행동장애 아동의 실행능력,

2.

(2000) 강박증 환자에서 신경 심리 검사를 통한 전두엽기능에 관한 연구,

3.

(1997) Behavioral Inhibition, Sustained Attention, and Executive Functions: Constructing a Unifying Theory of ADHD. ,

4.

(2002) delayed response and executive function in schizophrenia,

5.

(1995) Das Frankfurter Kinder- und Jugendpsychiatrische Dokumentationssystem- Entwicklung und methodische Grundlagen unter dem Aspekt der klinischen Qualittssicherung Praxis der Kinderpsychologie und Kinderpsychiatie,

6.

(1981) A manual for the Wisconsin Card Sorting Test, Inc

7.

(1993) Neuropsychological and psychophysiological differentiation of inattention/overactivity and aggression/defiance symptom groups Journal of Clinical Child Psychology,

8.

(2002) Executive function in patients with remitted bipolar disorder and schizophrenia and its relationship with functional outcome,

9.

(2000) A meta-analytic review of the relation between antisocial behavior and neuropsychological measures of executive function,

10.

(1997) Behavioral inhibition system functioning in anxious Journal of Personality and Individual Differences,

11.

(1996) Edited by Lyon,

12.

(1996) Journal of Child Psychology and Psychiatry,

13.

(2002) Executive function in schizophrenia is it linked to psychosis and poor life functioning The Journal of nervous and mental disease,

14.

(1999) Executive Functions and Physical Aggression after Controlling for Attention Deficit Hyperactivity Disorder Journal of Child Psychology and Psychiatry,

15.

(2002) Executive function deficits associated with symptoms of schizotypy and obsessive-compulsive disorder,

16.

(1984) Neuropsychological studies of the frontal lobes,

17.

(1998) Cognitive neuroscience of attention deficit hyperactivity disorder and hyperkinetic disorder Current Opinion in Neurobiology,

18.

(2002) Rumination and executive function in depression Journal of neurology,

19.

(1988199-230) Assessing frontal lobe functioning in children views from developmental psychology,

logo