Reactive and proactive aggression in children with and without ADHD and negative emotional lability
Reactive and proactive aggression in children with and without ADHD and negative emotional lability
复制标题
DOI：
10.1111/sode.12402
复制
发表时间：
2019-08-22
影响因子：
2
通讯作者：
Rosen, Paul J.
中科院分区：
文献类型：
--
作者：
Slaughter, Kelly E.;Leaberry, Kirsten D.;Rosen, Paul J.
患有注意力缺陷/多动障碍(ADHD)的儿童表现出明显的困难，消极或积极情绪频繁而强烈地变化，称为情绪不稳定。本研究考察了消极情绪不稳定(NEL)、ADHD与反应性攻击和主动性攻击之间的关系。社区样本包括96名8-12岁的儿童(53名ADHD，43名对照)和他们的父母，他们完成了基线会话，包括诊断性结构化访谈和反应性-主动性攻击问卷(RPAQ)。然后，父母使用积极和消极情绪量表对孩子的NEL进行评分，这是生态瞬时评估方案的一部分，每天3次，持续28天。73名参与者(37名ADHD患者，36名对照组)在随访时完成了RPAQ。分层回归分析表明，无论ADHD状态如何，NEL显著且独立地估计基线和随访时的反应性攻击。NEL和ADHD状态显著预测同时发生的主动攻击性，但不是在后续阶段。这项研究的结果表明，NEL是反应性攻击的变异性的重要原因，反应性攻击是ADHD儿童的常见困难。此外，据报道情绪不稳定的人会随着时间的推移变得更具反应性和攻击性。ADHD诊断和NEL都是基线时主动攻击的预测因子，尽管没有交互作用发生。
Children with attention-deficit/hyperactivity disorder (ADHD) exhibit marked difficulty with frequent and intense shifts in negative or positive emotions, referred to as emotional lability. This study examines the relationships between negative emotional lability (NEL), ADHD, and reactive and proactive aggression. A community sample of 96 children (53 with ADHD, 43 control) ages 8-12 and their parents completed a baseline session include a diagnostic structured interview and the Reactive-Proactive Aggression Questionnaire (RPAQ). Parents then rated their child's NEL using the Positive and Negative Affect Scale as part of an Ecological Momentary Assessment protocol 3 times a day for 28 days. Seventy-three participants (37 with ADHD, 36 control) completed the RPAQ at follow-up. Hierarchical regression analyses indicated that NEL significantly and independently estimates reactive aggression at baseline and follow-up, regardless of ADHD status. NEL and ADHD status significantly estimates concurrent proactive aggression, but not at follow-up. Results of this study suggest that NEL accounts for a significant amount of the variability in reactive aggression, a common difficulty in children with ADHD. Further, individuals that are reportedly emotionally labile become more reactively aggressive over time. Both ADHD diagnostic and NEL are predictors of proactive aggression at baseline, although no interaction occurred.