Understanding deficient emotional self-regulation in adults with attention deficit hyperactivity disorder: a controlled study.
Understanding deficient emotional self-regulation in adults with attention deficit hyperactivity disorder: a controlled study.
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DOI：
10.1007/s12402-012-0100-8
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发表时间：
2013-09
期刊：
影响因子：
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通讯作者：
Faraone, Stephen V
中科院分区：
文献类型：
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作者：
Surman, Craig B H;Biederman, Joseph;Spencer, Thomas;Miller, Carolyn A;McDermott, Katie M;Faraone, Stephen V
虽然情绪自我调节缺陷（DESR）的症状，如低挫折容忍度、脾气爆发、情绪冲动和情绪不稳定，通常与注意缺陷多动障碍（ADHD）有关，但对其本质知之甚少。这项事后研究的主要目的是在有和没有多动症的成年人的大样本中检查DESR的相关性。研究对象是来自ADHD家庭研究的206名ADHD成人和123名非ADHD成人。情绪冲动使用巴克利当前行为量表的项目进行操作化。采用结构化诊断访谈法对受试者的精神共病进行全面评估。我们使用生活质量、享受和满意度简易问卷（QLES-Q-SF）和社会适应量表-自我报告（SAS-SR）来评估生活质量和社会心理功能。与非ADHD成年人相比，DESR在ADHD中更为常见，55%的ADHD成年人报告的极端DESR严重程度高于95%的对照组。ADHD和DESR的关联不能完全用当前或终生共病来解释。根据QLES-Q-SF和SAS-SR的评估，DESR还与严重的功能障碍有关，并与婚姻状况下降、交通事故和逮捕的风险增加有关。DESR对成人ADHD患者的生活质量有不利影响。需要更多的工作来进一步评估DESR在ADHD患者的临床和调查研究中的作用。
While symptoms of deficient emotional self-regulation (DESR) such as low frustration tolerance, temper outbursts, emotional impulsivity, and mood lability are commonly associated with attention deficit hyperactivity disorder (ADHD), little is known about their nature. The main aim of this post hoc study was to examine the correlates of DESR in a large sample of adults with and without ADHD. Subjects were 206 adults with ADHD and 123 adults without ADHD from a family study of ADHD. Emotional impulsivity was operationalized using items from the Barkley Current Behavior Scale. Subjects were comprehensively assessed for psychiatric comorbidity using structured diagnostic interview methodology. We used the Quality of Life, Enjoyment, and Satisfaction Questionnaire-Short Form (QLES-Q-SF) and Social Adjustment Scale-Self-report (SAS-SR) to assess quality of life and psychosocial functioning. DESR was more common among ADHD compared with non-ADHD adults, and 55 % of adults with ADHD reported extreme DESR of greater severity than 95 % of control subjects. The association of ADHD and DESR was not entirely accounted for by either current or lifetime comorbid disorders. DESR was also associated with significant functional impairment as evaluated by the QLES-Q-SF and SAS-SR, and with reduced marital status, as well as higher risk for traffic accidents and arrests. DESR adversely impacts quality of life in adults with ADHD. More work is needed to further evaluate DESR in clinical and investigational studies of subjects with ADHD.