临床转诊青少年ADHD患者情绪症状的三年预后及其与神经心理功能的关系

IF 1.4 Q3 PSYCHIATRY
Pia Tallberg, Kristina Svanberg, Anne-Li Hallin, Maria Rastam, Peik Gustafsson, Sean Perrin
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引用次数: 1

摘要

背景:需要进一步了解情绪症状的长期结果,以及这些症状与青少年注意缺陷多动障碍(ADHD)神经心理功能之间的相互作用。目的:我们旨在纵向探讨基于表现的神经认知功能和父母评定的行为执行功能(EF)对临床转诊的青少年ADHD患者自评和父母评定的内化症状的影响(n = 137;平均年龄12.4岁)。我们还旨在检查ADHD组和对照组(n = 59;平均年龄= 11.9岁)。方法:在基线和三年后,父母完成了他们孩子的ADHD症状评定量表(Swanson Nolan Pelham量表,版本IV - SNAP-IV),情绪症状(5 - 15问卷,优势和困难问卷)和EF(执行功能行为评定量表)。同时,儿童完成焦虑、抑郁、愤怒量表(贝克青少年量表)和神经认知量表(康纳连续表现测试,第二版(CPT-II))、工作记忆和处理速度复合量表(韦氏智力量表)的自我报告测量。统计分析采用线性和logistic混合模型。结果:使用纵向数据,父母对情绪症状和自我评价与父母对ADHD青少年EF行为的评价相关。计划/组织缺陷与焦虑和愤怒的相关性高于其他元认知子量表,而情绪控制与愤怒的相关性高于其他行为调节子量表。在ADHD组中,愤怒症状在各个测点上都有所改善。当控制年龄时,两组的焦虑和抑郁症状基本稳定,但ADHD组的水平更高。各组之间焦虑和抑郁症状的差异随着时间的推移而减少。结论:目前的研究强调了识别、监测和治疗青少年多动症EF的情绪症状和行为方面的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Three-year Outcome of Emotional Symptoms in Clinically Referred Youth with ADHD and their Relationship to Neuropsychological Functions.

The Three-year Outcome of Emotional Symptoms in Clinically Referred Youth with ADHD and their Relationship to Neuropsychological Functions.

Background: Further knowledge is needed regarding long-term outcome of emotional symptoms, and the interplay between these symptoms and neuropsychological functioning in youth with attention deficit hyperactivity disorder (ADHD).

Objective: We aimed to explore the effect of performance-based neurocognitive functions and parent-rated behavioral executive functioning (EF) on self-rated and parent-rated internalizing symptoms longitudinally in clinically referred youth with ADHD (n = 137; mean age = 12.4 years). We also aimed to examine the change in self-rated emotional symptoms in the ADHD group and a Control group (n = 59; mean age = 11.9 years).

Method: At baseline, and three years later, parents completed rating scales of their child's ADHD symptoms (Swanson Nolan Pelham Scale, Version IV - SNAP-IV), emotional symptoms (Five To Fifteen Questionnaire, Strengths, and Difficulties Questionnaire), and EF (Behavior Rating Inventory of Executive Function). At the same time, the child completed self-report measures of Anxiety, Depression, and Anger Inventories (the Beck Youth Inventories) and neurocognitive measures (Conner's Continuous Performance Test, Version II (CPT-II), Working Memory and Processing Speed composites (Wechsler Intelligence Scales). Statistical analyses were linear and logistic mixed models.

Results: Using longitudinal data, parent- and self-ratings of emotional symptoms were associated with parent-ratings of EF behavior in youth with ADHD. Plan/organizing deficits were associated with Anxiety and Anger over and above other metacognitive subscales, while Emotional Control was related to Anger over and above other behavior regulation subscales. In the ADHD group, Anger symptoms improved across measuring points. When controlling for age, Anxiety, and Depression symptoms were largely stable in both groups, however at higher levels in the ADHD group. The differences in anxiety and depression symptoms across groups decreased over time.

Conclusions: The current study emphasizes the importance of identification, monitoring, and treatment of emotional symptoms, and behavioral aspects of EF in youth with ADHD.

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