Emotional Dysregulation in Adults With Attention-Deficit/Hyperactivity Disorder-Validity, Predictability, Severity, and Comorbidity
Emotional Dysregulation in Adults With Attention-Deficit/Hyperactivity Disorder-Validity, Predictability, Severity, and Comorbidity
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DOI：
10.1002/jclp.22317
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发表时间：
2017-01-01
影响因子：
3
通讯作者：
Stieglitz, Rolf-Dieter
中科院分区：
文献类型：
--
作者：
Corbisiero, Salvatore;Morstedt, Beatrice;Stieglitz, Rolf-Dieter
目的：注意力缺陷多动障碍（ADHD）以注意力不集中、多动和冲动为特征。然而，这种三联症可能无法解释ADHD症状的全部谱，因为情绪失调（艾德）似乎经常伴随着这种疾病。本研究的目的是进一步了解艾德在成人ADHD中的作用。方法：样本包括393名患有ADHD的成年人，没有或有合并症，121名没有ADHD或任何其他精神障碍的成年人。此外，样本集中在ED。核心症状的贡献和共病对艾德的影响进行了测试和艾德对ADHD诊断本身的预测价值进行了分析。最后，将所有受试者分为无ADHD、ADHD和ADHD + ED组，以分析三组ADHD症状严重程度的差异。结果：注意缺陷多动障碍患者的艾德水平升高。核心症状影响艾德，ADHD诊断预测ED。添加艾德的回归模型与核心症状，以提高ADHD诊断的可预测性。艾德的存在被证明是成人ADHD严重程度的一个指标，独立于目前的合并症。结论：艾德是成人ADHD患者的一个重要症状，并且似乎与ADHD本身有关。虽然其他精神障碍的存在加剧了艾德的症状，但艾德似乎并不仅仅表现为合并症的后果。(C)2016 Wiley Periodicals，Inc.
Objectives: Attention-deficit/hyperactivity disorder (ADHD) is characterized by inattention, hyperactivity, and impulsivity. However, this triad might not be able to explain the complete spectrum of ADHD symptoms, as emotional dysregulation (ED) frequently seems to accompany the disorder. The aim of this study was to further understand the role of ED in adult ADHD. Method: The sample comprised 393 adults with ADHD without or with comorbidity, and 121 adults without ADHD or any other mental disorder. Additionally, the sample focused on ED. The contribution of core symptoms and the effect of comorbidity on ED were tested and the predictive value of ED for the ADHD diagnosis itself analyzed. Finally, all subjects were categorized into groups-No ADHD, ADHD, and ADHD + ED-to analyze the differences in the severity of ADHD symptomatology in the three groups. Results: ED levels were found to be elevated in patients with ADHD. The core symptoms affected ED, and the ADHD diagnosis was predicted by ED. The addition of ED to a regression model with the core symptoms was shown to improve the predictability of the ADHD diagnosis. The presence of ED proved to be an indicator of the severity of adult ADHD independent of a present comorbidity. Conclusions: ED is a significant symptom in adult patients with ADHD and appears to be associated with ADHD itself. Whilst the presence of other mental disorders intensifies symptoms of ED, ED seems not to manifest solely as a consequence of comorbidity. (C) 2016 Wiley Periodicals, Inc.