Attention-deficit hyperactivity disorder and children's emotion dysregulation: A meta-analysis
Attention-deficit hyperactivity disorder and children's emotion dysregulation: A meta-analysis
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DOI：
10.1016/j.cpr.2016.04.011
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发表时间：
2016-06-01
影响因子：
12.8
通讯作者：
Garcia, Alexis
中科院分区：
文献类型：
--
作者：
Graziano, Paulo A.;Garcia, Alexis
虽然执行功能缺陷一直是注意力缺陷多动障碍 (ADHD) 认知理论的核心，但最近的研究表明，情绪失调也可能在理解患有 ADHD 的青少年所遭受的障碍方面发挥关键作用。然而，考虑到情绪失调涉及多个过程，患有多动症的青少年在情绪失调的多个领域受到损害的程度仍不清楚，这些领域包括：情绪识别/理解（ERU）、情绪反应/消极/不稳定性（ERNL）、情绪调节（EREG）和同理心/冷酷无情特征（ECUT）。对 77 项研究（n = 32,044 名青少年）的荟萃分析显示，患有 ADHD 的青少年在 ERNL（加权 ES d = .95）上的损伤最大，其次是 EREG（加权 ES d = .80）。 ECUT（加权 ES d = .68）和 ERU（加权 ES d = .64）的影响明显较小。适度分析表明，在样本包含老年青少年的研究中，ADHD 和 ERNL 之间的关联更强（没有其他人口统计因素显着）。此外，在控制同时发生的行为问题的研究中，ADHD 和 ECUT 之间的关联明显较弱。同时发生的行为问题并没有缓和多动症与任何其他情绪失调领域之间的联系。最后，当控制青少年的认知功能时，ADHD 和 ERNL 之间的关联明显减弱。认知功能并不能分别调节 ADHD 与 ERU、EREG 或 ECUT 之间的联系。讨论了患有多动症的青少年情绪失调研究的理论/实践意义。 (C) 2016 Elsevier Ltd. 保留所有权利。
While executive functioning deficits have been central to cognitive theories of Attention-Deficit Hyperactivity Disorder (ADHD), recent work has suggested that emotion dysregulation may also play a key role in understanding the impairments suffered by youth with ADHD. However, given the multiple processes involved in emotion dysregulation, the extent to which youth with ADHD are impaired across multiple domains of emotion dysregulation including: emotion recognition/understanding (ERU), emotion reactivity/negativity/lability (ERNL), emotion regulation (EREG), and empathy/callous-unemotional traits (ECUT) remains unclear. A meta-analysis of 77 studies (n = 32,044 youths) revealed that youth with ADHD have the greatest impairment on ERNL (weighted ES d = .95) followed by EREG (weighted ES d = .80). Significantly smaller effects were observed for ECUT (weighted ES d = .68) and ERU (weighted ES d = .64). Moderation analyses indicated that the association between ADHD and ERNL was stronger among studies that had a sample containing older youth (no other demographic factors were significant). Additionally, the association between ADHD and ECUT was significantly weaker among studies that controlled for co-occurring conduct problems. Co-occurring conduct problems did not moderate the link between ADHD and any other emotion dysregulation domain. Lastly, the association between ADHD and ERNL was significantly weaker when controlling for youth's cognitive functioning. Cognitive functioning did not moderate the link between ADHD and ERU, EREG, or ECUT, respectively. Theoretical/practical implications for the study of emotional dysregulation in youth with ADHD are discussed. (C) 2016 Elsevier Ltd. All rights reserved.