根據國立陽明大學論文”學齡前男女兒童注意力及活動量與自主神經活性相關性研究”發現副交感HF與對立性反抗、注意力不集中及過動症狀呈現顯著正相關;反之LF%及LF/HF與SNAP-IV量表各次量表及加總分數呈現顯著負相關,其中以LF /HF相關最大
Autonomic
Activity and Attention/Activity Intensity in Preschool-Age Children
國立陽明大學博碩士論文全文影像檢索系統 作者: 王宗熙
Tzong-Shi
Wang 關鍵詞: 學齡前兒童;心率變異性;注意力;活動量;性別差異;自主神經;男女差異
preschool
age children;SNAP-IV;heart
rate variability;autonomic
activity;gender
difference 日期:
Objective: to investigate the relationship and gender
difference between heart rate variability and activity rating scale scores
(SNAP-IV) in preschool-age children. Methods: We estimated autonomic reactivity
on preschool-age children by power spectrum analysis of heart rate variability
(HRV). Swanson, Nolan and Pelham parents and teachers rating scale (SNAP-IV), Chinese
version was applied to evaluate each subject’s severity of symptoms related to
inattention, hyperactivity, and oppositional defiant disorder. The association
between HRV parameters including variance, very low-frequency power (VLF,
0.003-0.04 Hz), LF (0.04-0.15 Hz), HF (0.15-1.0 Hz), LF/HF, normalized HF (HF%) and LF (LF%) and scores of SNAP-IV parents and teachers
subscales and scales was calculated and two-sided by SPSS version 15.0
software. Results: (1) After dividing all subjects into two groups by gender
difference, the boys’ group had significantly higher scores in SNAP-IV scales,
parent and teacher forms than the girls’ one except ODD subscale in SNAP-IV
parent form. No gender difference was found in HRV measurement (2) Between
scores of SNAP-IV parent form and HRV measurements, the results of Pearson’s
correlation analysis revealed that scores of four subscales and total scale of
SNAP-IV parent form except impulsivity subscale had positive association with
HF. All scores of SNAP-IV parent form scales had positive association with HF%.
Scores of four subscales and total scales of SNAP-IV parent form had more
identically negative association with LF% and LF/HF (3). Scores of inattention
and ADHD subscales of SNAP-IV teacher form had merely negative association with
LF%, but scores of four subscales and total scales of SNAP-IV teacher form had
significantly negative association with LF/HF ratio of HRV measurements (4) The
scores of four subscales and total scale of the boys’ SNAP-IV parent and teacher
forms except ODD subscale of SNAP-IV teacher form had significantly negative
association with LF% and LF/HF ratio. The scores of all scales of the boys’
SNAP-IV parent and teacher forms except ODD subscale of SNAP-IV teacher form
showed positive association with HF%, but only ADHD subscale and total scale of
SNAP-IV parent form had the same correlation with HF. The girls’ group did not
have the same findings. Conclusions: Most studies investigate HRV in ADHD
children, and the results showed less autonomic reactivity under stress task.
In this study, we illustrate that preschool-age children who are more
inattentive and hyperactive tend to have less sympathetic modulation and more
parasympathetic activity. In addiction, the boys’ group
contributed to our main findings more than girls’ one. These might
implicate that autonomic reactivity have gender differences in inattention and
hyperkinetic pathogenesis. Key Words: preschool age children, gender
difference, autonomic activity, heart rate variability, SNAP-IV 關聯: http://140.113.39.130/cgi-bin/gs/ymgsweb.cgi?o=dymcdr&i=sGYB121228635.id