Emotion dysregulation in attention deficit hyperactivity disorder.
Emotion dysregulation in attention deficit hyperactivity disorder.
复制标题
DOI：
10.1176/appi.ajp.2013.13070966
复制
发表时间：
2014-03
期刊：
影响因子：
--
通讯作者：
Leibenluft E
中科院分区：
文献类型：
--
作者：
Shaw P;Stringaris A;Nigg J;Leibenluft E
人们早就认识到，许多患有ADHD的人也有情绪调节的困难，但缺乏共识，如何概念化这个临床上具有挑战性的领域，使审查及时。作者使用定量和定性方法研究了当前的文献。有三个关键发现。首先，情绪调节障碍在ADHD患者的整个生命周期中普遍存在，并且是损害的主要因素。其次，ADHD的情绪失调可能是由于定向、识别和/或分配注意力到情绪刺激的缺陷引起的;这些缺陷涉及纹状体-杏仁核-内侧前额叶皮质网络内的功能障碍。第三，虽然目前ADHD的治疗方法通常也能改善情绪失调，但对这种症状组合的关注重新构建了临床问题，并可能激发新的治疗方法。三个模型来解释情绪失调和多动症之间的重叠被认为是：情绪失调和多动症相关，但不同的尺寸;情绪失调是一个核心，诊断功能的多动症;和组合构成一个疾病分类实体，从ADHD和情绪失调单独不同。每个模型的不同预测可以指导未来对这个被忽视的群体的研究。
It has long been recognized that many individuals with ADHD also have difficulties with emotion regulation but lack of consensus on how to conceptualize this clinically challenging domain renders a review timely. The authors examine the current literature using both quantitative and qualitative methods. Three key findings emerge. First, emotion dysregulation is prevalent in ADHD throughout the lifespan and is a major contributor to impairment. Second, emotion dysregulation in ADHD may arise from deficits in orienting towards, recognizing and/or allocating attention to emotional stimuli; these deficits that implicate dysfunction within a striato-amygdalo-medial prefrontal cortical network. Third, while current treatments for ADHD often also ameliorate emotion dysregulation, a focus on this combination of symptoms reframes clinical questions and could stimulate novel therapeutic approaches. Three models to explain the overlap between emotion dysregulation and ADHD are considered: emotion dysregulation and ADHD are correlated but distinct dimensions; emotion dysregulation is a core, diagnostic feature of ADHD; and the combination constitutes a nosological entity, distinct from both ADHD and emotion dysreguation alone. The differing predictions from each model can guide future research into this much-neglected population.
登录
查看更多内容
影响因子：
6.4
作者：
Becker, Andreas;Steinhausen, Hans-Christoph;Rothenberger, Aribert
通讯作者：
Rothenberger, Aribert
影响因子：
3.6
作者：
BUHRMESTER, D;WHALEN, CK;HINSHAW, SP
通讯作者：
HINSHAW, SP
影响因子：
6.9
作者：
Able, Stephen L.;Johnston, Joseph A.;Swindle, Ralph W.
通讯作者：
Swindle, Ralph W.
DOI：
10.1176/appi.ajp.2009.09010043
发表时间：
2010-01
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Brotman MA;Rich BA;Guyer AE;Lunsford JR;Horsey SE;Reising MM;Thomas LA;Fromm SJ;Towbin K;Pine DS;Leibenluft E
通讯作者：
Leibenluft E
影响因子：
5.3
作者：
Biederman, Joseph;Petty, Carter R.;Wozniak, Janet
通讯作者：
Wozniak, Janet