The role of cognitive disengagement syndrome in non-suicidal self-injury among adolescents with attention deficit hyperactivity disorder

IF 2.1 4区医学 Q3 PSYCHIATRY

Early Intervention in Psychiatry Pub Date : 2024-05-03 DOI:10.1111/eip.13535

Beyza Ergül, Burcu Ersöz Alan

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Abstract

Aims

We aimed to investigate the relationship between Cognitive Disengagement Syndrome (CDS) and non-suicidal self injury (NSSI) in adolescents with attention deficit hyperactivity disorder (ADHD).

Methods

A semi-structured psychiatric interview and an NSSI screening questionnaire were conducted. Questionnaires assessing CDS (with daydreamer, sleepy, and slow subdimensions), depression, anxiety, self-esteem, emotion regulation, coping strategies, and loneliness were administered.

Results

Among 104 participants (n: 63, 60.6% girls), the combined type of ADHD was the most common (66.3%), and 35 adolescents (27 girls) were in the NSSI+ group. Although only depression and ADHD were found to be predictors of NSSI in ADHD, CDS was associated with many risk factors of NSSI in ADHD: depression, anxiety, emotion dysregulation, low self-esteem, and emotion-oriented coping ways. After controlling for the effects of cognitive problems/inattentiveness, depression, and anxiety, CDS still correlated with low self-esteem and emotion dysregulation. The daydreamer and slow sub-dimensions of CSD differed between NSSI+ and NSSI- groups, while sleepy did not.

Conclusions

CDS is associated with several relevant factors, indirectly relating it to self-harm in ADHD. CDS increases the vulnerability to mental health changes that could lead to NSSI in adolescence with ADHD.

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认知脱离综合征在注意力缺陷多动障碍青少年非自杀性自伤中的作用

目的我们旨在研究注意力缺陷多动障碍（ADHD）青少年的认知分离综合征（CDS）与非自杀性自伤（NSSI）之间的关系。结果在 104 名参与者（63 人，60.6% 为女孩）中，合并型 ADHD 最为常见（66.3%），NSSI+ 组中有 35 名青少年（27 名女孩）。虽然只有抑郁症和多动症是预测多动症 NSSI 的因素，但 CDS 与多动症 NSSI 的许多风险因素有关：抑郁、焦虑、情绪失调、自卑和情绪导向型应对方式。在控制了认知问题/注意力不集中、抑郁和焦虑的影响后，CDS 仍与自卑和情绪失调相关。CDS的白日梦子维度和迟钝子维度在NSSI+组和NSSI-组之间存在差异，而嗜睡则没有差异。CDS会增加青少年ADHD患者心理健康变化的脆弱性，从而导致NSSI。

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

Early Intervention in Psychiatry 医学-精神病学

CiteScore

4.80

自引率

5.00%

发文量

112

审稿时长

6-12 weeks

期刊介绍： Early Intervention in Psychiatry publishes original research articles and reviews dealing with the early recognition, diagnosis and treatment across the full range of mental and substance use disorders, as well as the underlying epidemiological, biological, psychological and social mechanisms that influence the onset and early course of these disorders. The journal provides comprehensive coverage of early intervention for the full range of psychiatric disorders and mental health problems, including schizophrenia and other psychoses, mood and anxiety disorders, substance use disorders, eating disorders and personality disorders. Papers in any of the following fields are considered: diagnostic issues, psychopathology, clinical epidemiology, biological mechanisms, treatments and other forms of intervention, clinical trials, health services and economic research and mental health policy. Special features are also published, including hypotheses, controversies and snapshots of innovative service models.