气质和情绪失调对注意力缺陷/多动障碍成人抑郁症状的影响：结构方程模型分析

IF 3.7 2区医学 Q1 PSYCHIATRY

Journal of psychiatric research Pub Date : 2024-10-20 DOI:10.1016/j.jpsychires.2024.10.019

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引用次数: 0

摘要

目的：患有注意力缺陷/多动障碍（ADHD）的成年人出现抑郁症状很常见。临床证据表明，情感气质和情绪失调是这种关联的合理解释因素。因此，我们在本研究中调查了这些特征在影响成人多动症患者伴随抑郁症状中的作用：方法：连续招募门诊ADHD患者。抑郁症状由症状核对表-90修订版（SCL-90-R）测量，而比萨、巴黎和圣地亚哥气质评估孟菲斯-自动问卷（TEMPS-A）则用于评估情感气质维度。我们使用情绪调节困难量表（DERS）对情绪调节障碍进行了测试。在考虑了单变量水平上显示与抑郁症状相关的其他临床变量后，我们进行了结构方程建模，以检验气质、情绪失调和抑郁症状之间的相互作用：共招募了 164 名多动症患者（平均年龄为 29.8 ± 10.7 岁），其中女性 61 人（37.2%）。数据显示，考虑到精神药物治疗和多动症严重程度的可能影响，情绪失调（p 结论：尽管存在一些局限性，但我们的研究强调了情绪失调的重要性：尽管存在一些局限性，但我们的研究强调了癔症气质和情绪失调对多动症患者抑郁症状水平的影响。对成人多动症患者进行全面的气质评估可为制定有针对性的治疗策略和加强对患者的整体护理提供有价值的见解。

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Influence of temperament and emotional dysregulation on depressive symptoms in adults with attention-deficit/hyperactivity disorder: A structural equation modelling analysis

Objective

Depressive symptoms in adults with Attention-Deficit/Hyperactivity Disorder (ADHD) are common. Clinical evidence suggests that affective temperaments and emotional dysregulation are reasonable putative explanatory factors of this association. In this study, we thus investigated the role of these features in influencing concomitant depressive symptoms in adults with ADHD.

Methods

Outpatients with ADHD were consecutively enrolled. Depressive symptoms were measured by the Symptom Checklist-90 Revised (SCL-90-R), while the Temperament Evaluation Memphis for Pisa, Paris, and San Diego-Autoquestionnaire (TEMPS-A) was used to assess the affective temperament dimensions. We tested emotional dysregulation using the Difficulties in Emotion Regulation Scale (DERS). Structural equation modeling was performed to test the interplay between temperament, emotional dysregulation, and depressive symptoms, accounting for other clinical variables that showed an association with depressive symptoms at univariate level.

Results

A total of 164 individuals with ADHD (mean age of 29.8 ± 10.7 years), of which 61 (37.2%) women, were recruited. Data showed that, accounting for the possible influence of psychopharmacological treatment and ADHD severity, both emotional dysregulation (p < 0.001) and dysthymic temperament (p = 0.003), though not other affective temperament dimensions, might influence depressive symptoms in people with ADHD.

Conclusions

Despite some limitations, our study emphasizes the role of dysthymic temperament and emotional dysregulation in contributing to levels of depressive symptoms among individuals with ADHD. A comprehensive temperament assessment in adults with ADHD can offer valuable insights for developing tailored treatment strategies and enhancing overall patient care.

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来源期刊

Journal of psychiatric research 医学-精神病学

CiteScore

7.30

自引率

2.10%

发文量

622

审稿时长

130 days

期刊介绍： Founded in 1961 to report on the latest work in psychiatry and cognate disciplines, the Journal of Psychiatric Research is dedicated to innovative and timely studies of four important areas of research: (1) clinical studies of all disciplines relating to psychiatric illness, as well as normal human behaviour, including biochemical, physiological, genetic, environmental, social, psychological and epidemiological factors; (2) basic studies pertaining to psychiatry in such fields as neuropsychopharmacology, neuroendocrinology, electrophysiology, genetics, experimental psychology and epidemiology; (3) the growing application of clinical laboratory techniques in psychiatry, including imagery and spectroscopy of the brain, molecular biology and computer sciences;