Dispositional Trait Types of ADHD in Young Children.

Dispositional Trait Types of ADHD in Young Children.
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DOI:
10.1177/1087054712466915
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发表时间:
2016-01
影响因子:
3
通讯作者:
Martel MM
Martel MM
中科院分区:
医学2区
文献类型:
--
作者:
Martel MM

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这项研究评估了一种新的以人为本的方法,利用性格特征来解析ADHD的异质性。参与者是109名3至6岁的儿童,他们的主要照顾者和日托提供者/教师谁完成了多信息提供者的诊断程序与纵向随访。根据潜伏特征分析,ADHD儿童可分为低控制、高兴奋和高负性情感三个亚组。低控制组和高兴奋组表现出父母和老师评定的多动-冲动和对立-违抗障碍(ODD)症状增加。虽然低控制组表现出最差的反应抑制,但高兴奋组表现出最差的工作记忆。此外,随着时间的推移,高兴奋组表现出高攻击性和多动-冲动和ODD症状水平的增加。一个亚组的幼儿多动症与高surgency可能是特别危险的共病精神病理学和纵向恶化的症状。
This study evaluated a novel person-centered approach to parsing ADHD heterogeneity using dispositional traits. Participants were one hundred nine 3- to 6-year-olds, and their primary caregivers and day care providers/teachers who completed a multi-informant diagnostic procedure with longitudinal follow-up. Based on latent profile analysis, young children with ADHD could be divided into low control, high surgency, and high negative affect subgroups. The low control and high surgency groups exhibited increased parent- and teacher-rated hyperactive-impulsive and oppositional-defiant disorder (ODD) symptoms. Although the low control group exhibited the worst response inhibition, the high surgency group exhibited the worst working memory. Furthermore, the high surgency group exhibited high aggression and increasing levels of hyperactivity-impulsivity and ODD symptoms over time. A subgroup of young children with ADHD with high surgency may be at particular risk for comorbid psychopathology and longitudinal worsening of symptoms.
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影响因子: 18.4
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