{"title":"儿童虐待对成人注意缺陷多动障碍情绪失调影响的综合研究","authors":"Gozde Avci Buyukdogan, Sencan Sertcelik, Melike Nebioglu Yildiz","doi":"10.1002/cpp.70129","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction and Aim</h3>\n \n <p>Recent studies emphasize the presence of emotional dysregulation in attention deficit hyperactivity disorder (ADHD), which can lead to significant impairment in both clinical presentation and functional outcomes. The objective of this study was to investigate the presence and severity of emotional dysregulation and childhood maltreatment in adult patients with ADHD and to examine the potential link between these factors.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>The study included 80 adult ADHD patients and 80 healthy control participants. For the diagnosis or exclusion of ADHD, the Diagnostic Interview for ADHD (DIVA 2.0) in adults was applied to all participants, based on DSM-5 criteria. The ADHD group was screened with the DSM-IV Structured Clinical Interview (SCID-I) to identify comorbid diagnoses. Then, the Difficulties in Emotion Regulation Scale (DERS), the Childhood Trauma Questionnaire (CTQ), the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), the Adult ADHD Self-Report Scale (ASRS) and the Wender Utah Rating Scale (WURS-25) were applied.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>In the ADHD group, the total and all subscale scores of DERS were found to be higher than those in the healthy control group (<i>p</i> < 0.001). Total and subscale scores of CTQ were higher in the ADHD group (<i>p</i> < 0.001). Significant relationships were found between the subscales and total scores of DERS and the subscales and total scores of CTQ. In the entire sample, CTQ score, ASRS score, BDI score and BAI score were found to be predictors of emotional dysregulation.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>It was found that adult ADHD patients had more pronounced emotional dysregulation and childhood maltreatment. In addition, childhood maltreatment was found to be significantly associated with higher levels of emotional dysregulation.</p>\n </section>\n </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"32 4","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Impact of Childhood Maltreatment on Emotional Dysregulation in Adults With Attention Deficit Hyperactivity Disorder: A Comprehensive Study\",\"authors\":\"Gozde Avci Buyukdogan, Sencan Sertcelik, Melike Nebioglu Yildiz\",\"doi\":\"10.1002/cpp.70129\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Introduction and Aim</h3>\\n \\n <p>Recent studies emphasize the presence of emotional dysregulation in attention deficit hyperactivity disorder (ADHD), which can lead to significant impairment in both clinical presentation and functional outcomes. The objective of this study was to investigate the presence and severity of emotional dysregulation and childhood maltreatment in adult patients with ADHD and to examine the potential link between these factors.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>The study included 80 adult ADHD patients and 80 healthy control participants. For the diagnosis or exclusion of ADHD, the Diagnostic Interview for ADHD (DIVA 2.0) in adults was applied to all participants, based on DSM-5 criteria. The ADHD group was screened with the DSM-IV Structured Clinical Interview (SCID-I) to identify comorbid diagnoses. Then, the Difficulties in Emotion Regulation Scale (DERS), the Childhood Trauma Questionnaire (CTQ), the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), the Adult ADHD Self-Report Scale (ASRS) and the Wender Utah Rating Scale (WURS-25) were applied.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>In the ADHD group, the total and all subscale scores of DERS were found to be higher than those in the healthy control group (<i>p</i> < 0.001). Total and subscale scores of CTQ were higher in the ADHD group (<i>p</i> < 0.001). Significant relationships were found between the subscales and total scores of DERS and the subscales and total scores of CTQ. In the entire sample, CTQ score, ASRS score, BDI score and BAI score were found to be predictors of emotional dysregulation.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>It was found that adult ADHD patients had more pronounced emotional dysregulation and childhood maltreatment. In addition, childhood maltreatment was found to be significantly associated with higher levels of emotional dysregulation.</p>\\n </section>\\n </div>\",\"PeriodicalId\":10460,\"journal\":{\"name\":\"Clinical psychology & psychotherapy\",\"volume\":\"32 4\",\"pages\":\"\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-07-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical psychology & psychotherapy\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/cpp.70129\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical psychology & psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cpp.70129","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
The Impact of Childhood Maltreatment on Emotional Dysregulation in Adults With Attention Deficit Hyperactivity Disorder: A Comprehensive Study
Introduction and Aim
Recent studies emphasize the presence of emotional dysregulation in attention deficit hyperactivity disorder (ADHD), which can lead to significant impairment in both clinical presentation and functional outcomes. The objective of this study was to investigate the presence and severity of emotional dysregulation and childhood maltreatment in adult patients with ADHD and to examine the potential link between these factors.
Methods
The study included 80 adult ADHD patients and 80 healthy control participants. For the diagnosis or exclusion of ADHD, the Diagnostic Interview for ADHD (DIVA 2.0) in adults was applied to all participants, based on DSM-5 criteria. The ADHD group was screened with the DSM-IV Structured Clinical Interview (SCID-I) to identify comorbid diagnoses. Then, the Difficulties in Emotion Regulation Scale (DERS), the Childhood Trauma Questionnaire (CTQ), the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI), the Adult ADHD Self-Report Scale (ASRS) and the Wender Utah Rating Scale (WURS-25) were applied.
Results
In the ADHD group, the total and all subscale scores of DERS were found to be higher than those in the healthy control group (p < 0.001). Total and subscale scores of CTQ were higher in the ADHD group (p < 0.001). Significant relationships were found between the subscales and total scores of DERS and the subscales and total scores of CTQ. In the entire sample, CTQ score, ASRS score, BDI score and BAI score were found to be predictors of emotional dysregulation.
Conclusion
It was found that adult ADHD patients had more pronounced emotional dysregulation and childhood maltreatment. In addition, childhood maltreatment was found to be significantly associated with higher levels of emotional dysregulation.
期刊介绍：
Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.
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