注意缺陷/多动障碍和情绪失调亚组的功能障碍：13,207名儿童和青少年的潜在特征分析

IF 2.5 4区医学 Q2 PSYCHIATRY

European Journal of Psychiatry Pub Date : 2025-04-11 DOI:10.1016/j.ejpsy.2025.100310

Wenyan Zhang , Xiaohui Song , Xianbin Wang , Zhongliang Jiang , Xu Hong , Tianyuan Lei , Yonghua Cui

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引用次数: 0

摘要

背景与目的注意缺陷/多动障碍（ADHD）症状与情绪调节障碍的共存是非常普遍的。本研究旨在探索儿童和青少年群体中与ADHD症状和情绪失调有关的潜在亚群。方法选取北京儿童医院门诊诊断为ADHD的4-16岁儿童和青少年13207名。使用潜在特征分析（LPA）来确定不同年龄组（儿童，4-9岁，与青少年，10-16岁）的ADHD症状和情绪失调亚组。此外，采用协方差分析（ANCOVA）比较这些亚组在行为问题、认知障碍和社会功能障碍方面的差异。结果我们在儿童中发现了4个不同的潜在亚群，在青少年中发现了3个。在两个队列中，这些亚组在行为问题、认知障碍和社会功能障碍方面观察到显著差异。高水平ADHD症状和情绪失调的亚组在两个年龄组中都表现出更严重的功能障碍。结论：本研究强调了ADHD症状和情绪失调之间关系的发育变化，强调了基于年龄特征的量身定制干预的必要性。

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Functional impairments in attention-deficit/hyperactivity disorder and emotional dysregulation subgroups: A latent profile analysis in a large cohort of 13,207 children and adolescents

Background and objectives

The co-occurrence of attention-deficit/hyperactivity disorder (ADHD) symptoms and emotional dysregulation is highly prevalent. This study aims to explore potential subgroups within child and adolescent cohorts concerning ADHD symptoms and emotional dysregulation.

Methods

The sample comprised 13,207 children and adolescents aged 4–16 years diagnosed with ADHD recruited from outpatient services at the Beijing Children's Hospital. Latent profile analysis (LPA) was used to identify subgroups based on ADHD symptoms and emotional dysregulation across different age groups (children, 4–9 years, vs. adolescents, 10–16 years). Furthermore, analysis of covariance (ANCOVA) was employed to compare differences in behavioral problems, cognitive impairments, and social dysfunctions among these subgroups.

Results

We identified four distinct latent subgroups in children and three in adolescents. Significant differences in behavioral problems, cognitive impairments, and social dysfunctions were observed across these subgroups in both cohorts. Subgroups with high levels of ADHD symptoms and emotional dysregulation exhibited more severe functional impairments across both age groups.

Conclusions

This study highlights developmental variations in the relationship between ADHD symptoms and emotional dysregulation, underscoring the need for tailored interventions based on age-specific profiles.

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来源期刊

European Journal of Psychiatry PSYCHIATRY-

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

43 days

期刊介绍： The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.