Is Emotional Lability Distinct From "Angry/Irritable Mood," "Negative Affect," or Other Subdimensions of Oppositional Defiant Disorder in Children With ADHD?
Is Emotional Lability Distinct From "Angry/Irritable Mood," "Negative Affect," or Other Subdimensions of Oppositional Defiant Disorder in Children With ADHD?
复制标题
情绪不稳定是否与多动症儿童的“愤怒/烦躁情绪”、“消极情绪”或其他对立违抗性障碍的子维度不同？
DOI：
10.1177/1087054715624228
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发表时间：
2019-06-01
影响因子：
3
通讯作者：
Wang, Yufeng
中科院分区：
文献类型：
--
作者：
Liu, Lu;Chen, Wai;Wang, Yufeng
目的：情绪不稳定（EL）和对立违抗性障碍（ODD）是ADHD的常见并发症。本研究评估EL是否仅仅代表了ODD的负面“情绪/情感”成分或形成一个独特的维度。方法：采用探索性因素分析（EFA）和验证性因素分析（CFA）对1，317名ADHD参与者的EL和ODD数据进行了分析。结果：ADHD中ODD占39.4%，EL占42.6%;相当大的比例仅表达ODD或EL：16.6%仅表达ODD，19.7%仅表达EL，22.9%同时表达两者。在EFA和CFA中，EL形成了与ODD项目和“情绪/情感”子维度（无论是否由精神障碍诊断和统计手册[第5版; DSM-5]或Burke等人的模型或从我们的数据导出的从头ODD子维度）。这种因子结构在不同性别之间保持不变。结论：EL与ODD及其“情绪/情感”子维度不同。在新出现的证据，我们的研究结果提供了进一步的证据，EL作为一个独立的结构，从ODD的析因效度。
Objective: Emotional lability (EL) and oppositional defiant disorder (ODD) frequently co-occur with ADHD. This study evaluates whether EL merely represents the negative "mood/affect" component of ODD or forms a distinct dimension. Method: EL and ODD data from 1,317 ADHD participants were analyzed using exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) for binary data. Results: Within ADHD, 39.4% children had ODD and 42.6% had EL. A sizable proportion expressed only either ODD or EL: 16.6% had ODD-only, 19.7% had EL-only, and 22.9% expressed both. In both EFA and CFA, EL forms a separate dimension from ODD items and the "mood/affect" subdimensions (whether classified by Diagnostic and Statistical Manual of Mental Disorders [5th ed.; DSM-5] or the Burke et al. models or the de novo ODD subdimensions derived from our data). This factorial structure remains invariant across gender. Conclusion: EL is distinct from ODD and its "mood/affect" subdimensions. In line with emerging evidence, our findings provide further evidence of factorial validity for EL as a separate construct from ODD.