冲动性与注意力缺陷多动障碍：使用UPPS冲动行为量表进行亚型分类
Impulsivity and Attention Deficit-Hyperactivity Disorder: Subtype Classification Using the UPPS Impulsive Behavior Scale.
作者信息
Miller Drew J, Derefinko Karen J, Lynam Donald R, Milich Richard, Fillmore Mark T
机构信息
Department of Psychological Sciences, Purdue University, West Lafayette, IN 47907, USA.
出版信息
J Psychopathol Behav Assess. 2010 Sep;32(3):323-332. doi: 10.1007/s10862-009-9155-z.
Abstract
This study examined the classification accuracy of the UPPS Impulsive Behavior Scale (UPPS) in discriminating several attention deficit/hyperactivity disorder (ADHD) subtypes, including predominantly inattentive type (ADHD/I), combined type (ADHD/C), and combined type with behavioral problems (ADHD/ODD), between each other and a non-ADHD control group using logistic regression analyses. The sample consisted of 88 children ranging in age from 9.0 years to 12.8 years, with a mean of 10.9 years. Children were predominantly male (74%) and Caucasian (86%) and in grades 3-7. Results indicated that the UPPS performed well in classifying ADHD subtypes relative to traditional diagnostic measures. In addition, analyses indicated that differences in symptoms between subtypes can be explained by specific pathways to impulsivity. Implications for the assessment of ADHD and conceptual issues are discussed.
摘要
本研究使用逻辑回归分析，检验了UPPS冲动行为量表（UPPS）在区分几种注意力缺陷多动障碍（ADHD）亚型（包括主要为注意力不集中型（ADHD/I）、混合型（ADHD/C）以及伴有行为问题的混合型（ADHD/ODD））之间以及与非ADHD对照组之间的分类准确性。样本包括88名年龄在9.0岁至12.8岁之间的儿童，平均年龄为10.9岁。儿童主要为男性（74%），白人（86%），就读于3至7年级。结果表明，相对于传统诊断方法，UPPS在ADHD亚型分类方面表现良好。此外，分析表明，亚型之间症状的差异可以通过冲动性的特定途径来解释。本文讨论了对ADHD评估的意义及概念问题。
相似文献
1
Impulsivity and Attention Deficit-Hyperactivity Disorder: Subtype Classification Using the UPPS Impulsive Behavior Scale.冲动性与注意力缺陷多动障碍：使用UPPS冲动行为量表进行亚型分类
J Psychopathol Behav Assess. 2010 Sep;32(3):323-332. doi: 10.1007/s10862-009-9155-z.
2
A multidimensional approach of impulsivity in adult attention deficit hyperactivity disorder.成人注意缺陷多动障碍中冲动的多维方法。
Psychiatry Res. 2015 Jun 30;227(2-3):290-5. doi: 10.1016/j.psychres.2015.03.023. Epub 2015 Mar 30.
3
Evaluating the utility of sluggish cognitive tempo in discriminating among DSM-IV ADHD subtypes.评估认知迟钝在 DSM-IV ADHD 亚型鉴别中的效用。
J Abnorm Child Psychol. 2010 Feb;38(2):173-84. doi: 10.1007/s10802-009-9355-8.
4
Regional brain network organization distinguishes the combined and inattentive subtypes of Attention Deficit Hyperactivity Disorder.区域脑网络组织区分注意力缺陷多动障碍的合并型和注意力不集中型亚型。
Neuroimage Clin. 2017 May 22;15:383-390. doi: 10.1016/j.nicl.2017.05.016. eCollection 2017.
5
Validity of DSM-IV attention deficit/hyperactivity disorder symptom dimensions and subtypes.DSM-IV 注意缺陷/多动障碍症状维度和亚型的有效性。
J Abnorm Psychol. 2012 Nov;121(4):991-1010. doi: 10.1037/a0027347. Epub 2012 May 21.
6
Scoping Review: Transdiagnostic Measurement of Impulsivity Domains in Youth Using the UPPS Impulsive Behavior Scales.范围综述：使用 UPPS 冲动行为量表对青少年冲动性领域进行跨诊断测量。
J Am Acad Child Adolesc Psychiatry. 2024 Aug;63(8):789-812. doi: 10.1016/j.jaac.2024.03.011. Epub 2024 Mar 27.
7
Efficacy of guanfacine extended release in the treatment of combined and inattentive only subtypes of attention-deficit/hyperactivity disorder.缓释胍法辛治疗注意缺陷多动障碍合并型及仅注意力不集中型亚型的疗效
J Child Adolesc Psychopharmacol. 2012 Jun;22(3):206-14. doi: 10.1089/cap.2010.0135. Epub 2012 May 21.
8
Attention Deficit Hyperactivity Disorder comorbid oppositional defiant disorder and its predominately inattentive type: evidence for an association with COMT but not MAOA in a Chinese sample.注意缺陷多动障碍伴对立违抗障碍及其主要不注意型：在中国样本中与 COMT 而非 MAOA 相关的证据。
Behav Brain Funct. 2009 Feb 19;5:8. doi: 10.1186/1744-9081-5-8.
9
Double-dissociation between the mechanism leading to impulsivity and inattention in Attention Deficit Hyperactivity Disorder: A resting-state functional connectivity study.注意缺陷多动障碍中导致冲动和注意力不集中机制之间的双重分离：一项静息态功能连接性研究
Cortex. 2017 Jan;86:290-302. doi: 10.1016/j.cortex.2016.06.005. Epub 2016 Jun 16.
10
Turkish adaptation and validation of the Short-UPPS-P in adolescents and examination of different facets of impulsivity in adolescents with ADHD.《青少年版简短UPPS-P量表在土耳其的改编与验证以及对多动症青少年冲动性不同方面的考察》
Child Neuropsychol. 2023 Apr;29(3):503-519. doi: 10.1080/09297049.2022.2100338. Epub 2022 Jul 21.
引用本文的文献
1
Genomic structural equation study reveals links between anorexia nervosa and delay discounting and lack of perseverance but not other facets of impulsivity.基因组结构方程研究揭示了神经性厌食症与延迟折扣及缺乏毅力之间的联系，但与冲动性的其他方面无关。
Front Psychiatry. 2025 Jul 4;16:1613776. doi: 10.3389/fpsyt.2025.1613776. eCollection 2025.
2
Latent Profiles of Impulsivity and Emotion Regulation in Children With Externalizing Disorders Are Associated With Alterations in Striatocortical Connectivity.外化障碍儿童冲动性和情绪调节的潜在特征与纹状体皮质连接的改变有关。
Biol Psychiatry Cogn Neurosci Neuroimaging. 2025 Mar 7. doi: 10.1016/j.bpsc.2025.02.013.
3
Trait impulsivity influences behavioural and physiological responses to threat in a virtual environment.特质冲动性会影响在虚拟环境中对威胁的行为和生理反应。
Sci Rep. 2024 Apr 25;14(1):9484. doi: 10.1038/s41598-024-60300-6.
4
Scoping Review: Transdiagnostic Measurement of Impulsivity Domains in Youth Using the UPPS Impulsive Behavior Scales.范围综述：使用 UPPS 冲动行为量表对青少年冲动性领域进行跨诊断测量。
J Am Acad Child Adolesc Psychiatry. 2024 Aug;63(8):789-812. doi: 10.1016/j.jaac.2024.03.011. Epub 2024 Mar 27.
5
Relationships between experimental task and questionnaire measures of reward/punishment sensitivity in attention-deficit/hyperactivity disorder (ADHD): protocol for a scoping review.注意缺陷多动障碍（ADHD）中实验任务与问卷测量奖励/惩罚敏感性的关系：系统评价方案。
BMJ Open. 2024 Feb 13;14(2):e078026. doi: 10.1136/bmjopen-2023-078026.
6
Does Emotion-Related Impulsivity Relate to Specific ADHD Symptom Dimensions, and Do the Effects Generalize Across Comorbid Internalizing and Externalizing Syndromes?情绪相关冲动与特定 ADHD 症状维度相关吗？这种影响是否会泛化到共患的内化和外化综合征？
J Atten Disord. 2024 Jan;28(2):178-188. doi: 10.1177/10870547231210283. Epub 2023 Nov 14.
7
Risk and Adversity Factors in Adult Patients with Comorbid Attention Deficit Hyperactivity Disorder (ADHD), Binge Eating Disorder (BED), and Borderline Personality Disorder (BPD): A Naturalistic Exploratory Study.成年共病注意力缺陷多动障碍（ADHD）、暴饮暴食症（BED）和边缘性人格障碍（BPD）患者的风险与逆境因素：一项自然主义探索性研究。
Brain Sci. 2023 Apr 16;13(4):669. doi: 10.3390/brainsci13040669.
8
The Impact of Free Sugar on Human Health-A Narrative Review.游离糖对人类健康的影响——一项叙述性综述。
Nutrients. 2023 Feb 10;15(4):889. doi: 10.3390/nu15040889.
9
Inter-relationships between ADHD, ODD and impulsivity dimensions in emerging adults revealed by network analysis: extending the 'trait impulsivity hypothesis'.网络分析揭示的新兴成年人中多动症、对立违抗障碍与冲动维度之间的相互关系：扩展“特质冲动假说”
Heliyon. 2022 Sep 25;8(10):e10712. doi: 10.1016/j.heliyon.2022.e10712. eCollection 2022 Oct.
10
Specific dopaminergic genetic variants influence impulsivity, cognitive deficit, and disease severity of Indian ADHD probands.特定的多巴胺能遗传变异会影响印度 ADHD 先证者的冲动性、认知缺陷和疾病严重程度。
Mol Biol Rep. 2022 Aug;49(8):7315-7325. doi: 10.1007/s11033-022-07521-y. Epub 2022 May 13.
本文引用的文献
1
Inhibitory deficits in children with attention-deficit/hyperactivity disorder: intentional versus automatic mechanisms of attention.注意缺陷多动障碍儿童的抑制缺陷：有意与自动注意机制
Dev Psychopathol. 2009 Spring;21(2):539-54. doi: 10.1017/S0954579409000297.
2
Inhibitory functioning across ADHD subtypes: recent findings, clinical implications, and future directions.注意缺陷多动障碍各亚型的抑制功能：最新研究结果、临床意义及未来方向
Dev Disabil Res Rev. 2008;14(4):268-75. doi: 10.1002/ddrr.37.
3
A replicated molecular genetic basis for subtyping antisocial behavior in children with attention-deficit/hyperactivity disorder.注意缺陷多动障碍儿童反社会行为亚型的复制分子遗传基础。
Arch Gen Psychiatry. 2008 Feb;65(2):203-10. doi: 10.1001/archgenpsychiatry.2007.24.
4
Response style differences in the inattentive and combined subtypes of attention-deficit/hyperactivity disorder.注意力缺陷/多动障碍注意力不集中型和混合型亚型中的反应风格差异。
J Abnorm Child Psychol. 2008 Jul;36(5):745-58. doi: 10.1007/s10802-007-9207-3. Epub 2008 Jan 3.
5
Axis I and II comorbidity in adults with ADHD.成人注意力缺陷多动障碍患者的轴I和轴II共病情况。
J Abnorm Psychol. 2007 Aug;116(3):519-28. doi: 10.1037/0021-843X.116.3.519.
6
Attention and executive functions profile in drug naive ADHD subtypes.未用药的注意缺陷多动障碍（ADHD）亚型的注意力和执行功能概况。
Brain Dev. 2007 Aug;29(7):400-8. doi: 10.1016/j.braindev.2006.11.010. Epub 2007 Jan 4.
7
Child ADHD and personality/temperament traits of reactive and effortful control, resiliency, and emotionality.儿童注意力缺陷多动障碍与反应性和努力性控制、复原力及情绪性等人格/气质特征。
J Child Psychol Psychiatry. 2006 Nov;47(11):1175-83. doi: 10.1111/j.1469-7610.2006.01629.x.
8
Childhood ADHD predicts risky sexual behavior in young adulthood.儿童期注意力缺陷多动障碍预示着青年期的危险性行为。
J Clin Child Adolesc Psychol. 2006 Dec;35(4):571-7. doi: 10.1207/s15374424jccp3504_8.
9
Subtypes of attention-deficit/hyperactivity disorder (ADHD): distinct or related disorders across measurement levels?注意力缺陷多动障碍（ADHD）的亚型：不同测量水平下的不同疾病还是相关疾病？
Child Psychiatry Hum Dev. 2006 Summer;36(4):403-17. doi: 10.1007/s10578-006-0011-z.
10
Attention-deficit disorder (attention-deficit/ hyperactivity disorder without hyperactivity): a neurobiologically and behaviorally distinct disorder from attention-deficit/hyperactivity disorder (with hyperactivity).注意力缺陷障碍（无多动症状的注意力缺陷/多动障碍）：一种在神经生物学和行为学上与（有多动症状的）注意力缺陷/多动障碍截然不同的疾病。
Dev Psychopathol. 2005 Summer;17(3):807-25. doi: 10.1017/S0954579405050388.
Zotero 插件