1 University of Louisville, KY, USA.
J Atten Disord. 2018 Jun;22(8):724-737. doi: 10.1177/1087054714561859. Epub 2014 Dec 17.
The present study utilized ecological momentary assessment (EMA) to examine the effects of emotional impulsivity on overall functional impairment and functional impairment variability (FIV) of children with and without ADHD.
Parents of 74 children, 8- to 12-year-olds (42 with ADHD, 32 without ADHD), completed EMA assessment protocol ratings of their child's mood (3 times daily) and functional impairment (1 time daily) over the course of 28 days.
Hierarchical regression analyses supported the interaction of ADHD diagnostic status and greater EMA-derived emotional impulsivity in the estimation of total functional impairment (Total FI) and FIV. Thus, greater emotional impulsivity was found to be related to greater Total FI and FIV among children with ADHD but not among children without ADHD.
This study suggests that children with ADHD and greater emotional impulsivity demonstrate greater overall levels of functional impairment, with the severity of their impairment varying significantly over time.
本研究采用生态瞬时评估（EMA）来考察情绪冲动性对 ADHD 儿童和非 ADHD 儿童整体功能障碍及功能障碍变异性（FIV）的影响。
74 名 8 至 12 岁儿童（42 名 ADHD 儿童，32 名非 ADHD 儿童）的父母完成了 EMA 评估方案，对孩子的情绪（每日 3 次）和功能障碍（每日 1 次）进行了 28 天的评估。
分层回归分析支持 ADHD 诊断状态与 EMA 衍生的情绪冲动性之间的交互作用，可用于估计总功能障碍（Total FI）和 FIV。因此，在 ADHD 儿童中，较高的情绪冲动性与较高的 Total FI 和 FIV 有关，而非 ADHD 儿童则无此相关性。
本研究表明，情绪冲动性较高的 ADHD 儿童表现出更高的整体功能障碍水平，其损伤的严重程度随时间显著变化。
