识别成人多动症情绪调节障碍的不同模式。

IF 4 2区 医学 Q1 PSYCHIATRY
Emilie Martz, Luisa Weiner, Sébastien Weibel
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引用次数: 0

摘要

背景:情绪调节障碍(ED)是成人注意力缺陷多动障碍(ADHD)的核心内在特征。然而,ED的临床表现是多种多样的,一些问卷已被用于测量成人ADHD的ED。因此,迄今为止,成人多动症ED的特征仍不明确。本研究的目的是确定成人ADHD的不同ED模式。方法:招募460名新诊断的成人ADHD患者作为大样本。患者共完成了20份自我报告问卷。测量包括ED的几个方面,但也包括成人ADHD的其他临床特征,如赛车思维。采用主成分提取法进行因子分析,确定症状聚类。然后进行一维聚类,以评估参与者是否出现每个症状聚类。结果:因子分析得出了5个因子的解决方案,包括“情绪不稳定”、“冲动”、“过度活跃”、“注意力不集中/组织混乱”和“睡眠问题”。ED是五个集群中的两个集群的一部分,涉及67.52%的样本。在这些患者中,合并多动症表现最为普遍。童年时期的虐待对情绪不稳定和冲动有显著的预测作用。ED和“睡眠问题”因素对患者的功能损害有显著影响。结论:ADHD的ED表现为情绪不稳定和情绪冲动,并显著导致功能损害。然而,除了损害症状外,成人多动症还可能具有创造力等功能优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Identifying different patterns of emotion dysregulation in adult ADHD.

Identifying different patterns of emotion dysregulation in adult ADHD.

Background: Emotion dysregulation (ED) is a core intrinsic feature of adult presenting Attention Deficit Hyperactivity Disorder (ADHD). However, the clinical expressions of ED are diverse and several questionnaires have been used to measure ED in adults with ADHD. Thus, to date, the characteristics of ED in adult ADHD remain poorly defined. The objective of this study is to identify the different patterns of ED in adults with ADHD.

Methods: A large sample of 460 newly diagnosed adults with ADHD were recruited. Patients completed a total of 20 self-reported questionnaires. Measures consisted in the several facets of ED, but also other clinical features of adult ADHD such as racing thoughts. A factor analysis with the principal component extraction method was performed to define the symptomatic clusters. A mono-dimensional clustering was then conducted to assess whether participants presented or not with each symptomatic cluster.

Results: The factor analysis yielded a 5 factor-solution, including "emotional instability", "impulsivity", "overactivation", "inattention/disorganization" and "sleep problems". ED was part of two out of five clusters and concerned 67.52% of our sample. Among those patients, the combined ADHD presentation was the most prevalent. Emotional instability and impulsivity were significantly predicted by childhood maltreatment. The ED and the "sleep problems" factors contributed significantly to the patients' functional impairment.

Conclusions: ED in ADHD is characterized along emotional instability and emotional impulsivity, and significantly contributes to functional impairment. However, beyond impairing symptoms, adult ADHD may also be characterized by functional strengths such as creativity.

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来源期刊
CiteScore
6.00
自引率
9.80%
发文量
30
审稿时长
28 weeks
期刊介绍: Borderline Personality Disorder and Emotion Dysregulation provides a platform for researchers and clinicians interested in borderline personality disorder (BPD) as a currently highly challenging psychiatric disorder. Emotion dysregulation is at the core of BPD but also stands on its own as a major pathological component of the underlying neurobiology of various other psychiatric disorders. The journal focuses on the psychological, social and neurobiological aspects of emotion dysregulation as well as epidemiology, phenomenology, pathophysiology, treatment, neurobiology, genetics, and animal models of BPD.
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