Change in Adolescents' Perceived ADHD Symptoms Across 17 Days of Ecological Momentary Assessment.

IF 4.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Clinical Child and Adolescent Psychology Pub Date : 2024-05-01 Epub Date: 2022-07-26 DOI:10.1080/15374416.2022.2096043

Traci M Kennedy, Brooke S G Molina, Sarah L Pedersen

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引用次数: 0

Abstract

Objective: To test whether adolescents' perceived ADHD symptoms may improve while monitoring them throughout the day.

Method: In a sample of 90 adolescents (M_age = 14.7; 66% boys, 34% girls; 76.7% White, 13.3% Black or African American, 8.9% more than one race, 1.1% "other") treated for ADHD by their pediatricians, this study examined: (1) whether self-rated ADHD symptoms decreased across 17 days of 4 times daily ecological momentary assessment (EMA) of symptoms and (2) whether completing versus missing an EMA survey was associated with lower self-rated ADHD symptoms in the subsequent hours.

Results: Multilevel regression analyses showed that, on average, adolescents' perceived ADHD symptoms (inattention, hyperactivity, impulsivity, and total across domains) decreased across 17 days of EMA. Within person, symptoms were lower following completed versus missed EMA surveys. Significant moderating effects showed that the effect of completing the prior EMA survey weakened across the day and over the course of the 17 days.

Conclusions: This study is the first to document acute improvements in self-rated ADHD symptoms using EMA in adolescents' naturalistic environments. Symptom monitoring throughout the day may help adolescents improve their day-to-day ADHD, at least acutely, and holds promise as one component of mobile-health ADHD interventions.

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在 17 天的生态瞬间评估中，青少年感知到的多动症症状的变化。

目的测试在全天监测青少年多动症症状的同时，青少年感知到的多动症症状是否会有所改善：本研究以儿科医生治疗多动症的 90 名青少年为样本（年龄 = 14.7；66% 为男孩，34% 为女孩；76.7% 为白人，13.3% 为黑人或非裔美国人，8.9% 为多个种族，1.1% 为 "其他 "种族），考察了：(1) 在每天进行 4 次症状生态瞬间评估（EMA）的 17 天中，自评为多动症的症状是否有所减轻；(2) 完成与未完成 EMA 调查是否与随后几小时自评为多动症的症状减轻有关：多层次回归分析表明，平均而言，在 17 天的 EMA 中，青少年感知到的多动症状（注意力不集中、多动、冲动和各领域总症状）均有所减轻。就每个人而言，完成 EMA 调查与错过 EMA 调查后，症状都有所减轻。显著的调节效应表明，在17天的调查过程中，完成之前的EMA调查的效果在一天中逐渐减弱：本研究首次记录了在青少年的自然环境中使用 EMA 对自我评估的多动症症状进行急性改善的情况。全天症状监测可帮助青少年改善日常多动症症状，至少在急性期是这样，而且有望成为移动健康多动症干预措施的一个组成部分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Child and Adolescent Psychology Multiple-

CiteScore

9.70

自引率

4.80%

发文量

期刊介绍： The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.