Network relationships between emotional dysregulation and ADHD symptoms: an investigation of 13,207 clinical children and adolescents.

IF 4.9 2区 医学 Q1 PEDIATRICS
Wenyan Zhang, Xiaohui Song, Anyi Zhang, Liping Yu, Xianbin Wang, Zhongliang Jiang, Yonghua Cui, Ying Li
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Abstract

This study employed network analysis to examine the co-occurrence patterns of emotional dysregulation (ED) and attention-deficit/hyperactivity disorder (ADHD) symptoms in clinically referred children and adolescents. A total of 13,207 children and adolescents meeting the research criteria were included in the analysis. ED was assessed using the Strengths and Difficulties Questionnaire-dysregulation profile (SDQ-DP), while ADHD symptoms were evaluated using The Swanson, Nolan, and Pelham Rating Scale-IV, parent-report version (SNAP-IV). The study examined central and bridging symptoms within the network model. The research identified that the node SNAP-2 ("Often has difficulty sustaining attention in tasks or play activities") is the most central symptom in the ED-ADHD co-occurrence network model. Nodes SDQ-2 ("Restless, overactive, cannot stay still for long"), SDQ-13 ("Often unhappy, depressed or tearful"), and SDQ-5 ("Often loses temper") emerged as core symptoms within the ED community, indicating that excitability, depression, and irritability are common subtypes of emotional dysregulation in the co-occurrence model. Bridging symptoms include node SDQ-2 ("Restless, overactive, cannot stay still for long"), node SDQ-15 ("Easily distracted, concentration wanders"), and node SNAP-14 ("Often is 'on the go' or acts as if 'driven by a motor'"), linking hyperactive/impulsive symptoms and attention deficits with co-occurring emotional dysregulation. The core and bridging symptoms identified in this study may serve as targets for prevention and treatment of co-occurring ED and ADHD in clinical children and adolescents. The most common subtypes of emotional dysregulation symptoms co-occurring with ADHD represent targets for personalized treatment.

情绪失调与ADHD症状的网络关系:对13207名临床儿童和青少年的调查
本研究采用网络分析研究临床转诊的儿童和青少年中情绪失调(ED)和注意力缺陷/多动障碍(ADHD)症状的共现模式。共有13207名符合研究标准的儿童和青少年被纳入分析。ED使用优势和困难问卷-失调特征(SDQ-DP)进行评估,而ADHD症状使用Swanson, Nolan和Pelham评定量表- iv,家长报告版本(SNAP-IV)进行评估。该研究检查了网络模型中的中心症状和桥接症状。研究发现,节点SNAP-2(“经常难以在任务或游戏活动中保持注意力”)是ED-ADHD共现网络模型中最核心的症状。节点SDQ-2(“躁动、过度活跃、不能长时间静止不动”)、SDQ-13(“经常不快乐、抑郁或流泪”)和SDQ-5(“经常发脾气”)成为ED社区的核心症状,表明兴奋性、抑郁和易怒是共现模型中常见的情绪失调亚型。桥接症状包括SDQ-2节点(“躁动、过度活跃、不能长时间保持静止”)、SDQ-15节点(“容易分心、注意力不集中”)和SNAP-14节点(“经常‘忙个不停’或‘被发动机驱动’”),将多动/冲动症状和注意力缺陷与同时发生的情绪失调联系起来。本研究确定的核心和桥接症状可以作为预防和治疗临床儿童和青少年ED和ADHD共存的目标。与ADHD同时发生的最常见的情绪失调症状亚型代表了个性化治疗的目标。
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来源期刊
CiteScore
12.80
自引率
4.70%
发文量
186
审稿时长
6-12 weeks
期刊介绍: European Child and Adolescent Psychiatry is Europe''s only peer-reviewed journal entirely devoted to child and adolescent psychiatry. It aims to further a broad understanding of psychopathology in children and adolescents. Empirical research is its foundation, and clinical relevance is its hallmark. European Child and Adolescent Psychiatry welcomes in particular papers covering neuropsychiatry, cognitive neuroscience, genetics, neuroimaging, pharmacology, and related fields of interest. Contributions are encouraged from all around the world.
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