Bunford Nora, Evans Steven W, Becker Stephen P, Langberg Joshua M
Department of Psychology, Ohio University, 200 Porter Hall, Athens, OH, 45701, USA,
J Abnorm Child Psychol. 2015 Feb;43(2):283-96. doi: 10.1007/s10802-014-9909-2.
Although studies document an association between Attention-Deficit/Hyperactivity Disorder (ADHD) and social problems, little is known about mediating or moderating mechanisms underlying this association. We examined whether, among youth, emotion dysregulation (ED) mediates the negative association between ADHD and social skills, and whether this mediational process is moderated by symptoms of depression. A total of 171 youth with ADHD (76 % male; Mage = 12.15, SD = 0.95) and their parents completed measures of ED, depression, and social skills. Results indicated that, after controlling for oppositional defiant disorder, the negative association between ADHD and social skills was mediated by ED. Further, this indirect effect was relevant for youth with non-clinical and subclinical levels of depression but not for those with clinical levels of depression. These findings underscore the importance of ED in the association between ADHD and social functioning among youth and suggest a need for additional research to understand how and when ED impacts such functioning.
尽管研究记录了注意力缺陷多动障碍（ADHD）与社会问题之间的关联，但对于这种关联背后的中介或调节机制知之甚少。我们研究了在青少年中，情绪失调（ED）是否介导了ADHD与社交技能之间的负相关，以及这种中介过程是否受到抑郁症状的调节。共有171名患有ADHD的青少年（76%为男性；平均年龄=12.15，标准差=0.95）及其父母完成了情绪失调、抑郁和社交技能的测量。结果表明，在控制对立违抗障碍后，ADHD与社交技能之间的负相关由情绪失调介导。此外，这种间接效应在非临床和亚临床抑郁水平的青少年中存在，但在临床抑郁水平的青少年中不存在。这些发现强调了情绪失调在青少年ADHD与社会功能关联中的重要性，并表明需要进一步研究以了解情绪失调如何以及何时影响这种功能。
