Mediating effect of anxiety and depression on the relationship between Attention-deficit/hyperactivity disorder symptoms and smoking/drinking.
Mediating effect of anxiety and depression on the relationship between Attention-deficit/hyperactivity disorder symptoms and smoking/drinking.
复制标题
焦虑和抑郁对注意力缺陷/多动障碍症状与吸烟/饮酒关系的中介作用。
DOI：
10.1038/srep21609
复制
发表时间：
2016-02-29
影响因子：
4.6
通讯作者：
Xiong X
中科院分区：
文献类型：
--
作者：
Tong L;Shi HJ;Zhang Z;Yuan Y;Xia ZJ;Jiang XX;Xiong X
注意力缺陷多动障碍（ADHD）经常被发现与其他疾病共病，包括焦虑，抑郁和不健康的行为，如饮酒和吸烟。这些因素经常被单独讨论，心理健康对物质使用的中介作用尚不清楚。为探讨焦虑和抑郁在注意缺陷多动障碍与饮酒/吸烟行为关系中的中介作用，采用横断面研究方法对上海市1870名大学生进行了调查。采用成人ADHD自评量表（ASRS-v1.1）和Wender犹他州量表（WURS）对ADHD患者进行诊断。采用结构方程模型研究焦虑和抑郁在ADHD核心症状与吸烟/饮酒行为关系中的中介作用。我们发现，注意力不集中作为ADHD的核心症状之一，与抑郁症的直接影响风险增加有关，以及抑郁症的间接影响导致吸烟/饮酒行为的风险略有增加。多动-冲动作为ADHD的另一个核心症状，对吸烟和饮酒行为有强烈的影响，同时通过焦虑和抑郁介导。总之，焦虑和抑郁与ADHD学生吸烟/饮酒风险行为的进一步增加有关。
Attention-deficit/hyperactivity disorder (ADHD) has been often found to be comorbid with other disorders, including anxiety, depression, and unhealthy behaviors such as drinking alcohol and smoking. These factors were often discussed separately, and the mediating effects of mental health on substance use are unknown. To study the mediating effects of anxiety and depression on the relationship between ADHD and drinking/smoking behaviors, we conducted a cross-sectional study of 1870 college students from Shanghai, China. The Adult ADHD Self-Report Scale (ASRS-v1.1) and Wender Utah Rating Scale (WURS) were used to identify the current and past ADHD. Structural Equation Modeling was carried out to clarify the mediating effect of anxiety and depression on the relationship between core ADHD symptoms and smoking/drinking behaviors. We found that inattention as one of the core symptoms of ADHD was associated with an increased risk of depression as a direct effect, as well as slightly increased risk of smoking/drinking behaviors by an indirect effect of depression. Hyperactivity-impulsivity, as another core symptom of ADHD had a robust impact on smoking and drinking behaviors, while being mediated by anxiety and depression. In conclusion, anxiety and depression was associated with further increased risk behaviors of smoking/drinking alcohol among those students with ADHD.