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注意缺陷/多动障碍青少年中的焦虑和抑郁:行为气质特征、共病自闭症谱系障碍及受欺凌情况的作用

Anxiety and depression among adolescents with attention-deficit/hyperactivity disorder: The roles of behavioral temperamental traits, comorbid autism spectrum disorder, and bullying involvement.

作者信息

Hu Huei-Fan, Chou Wen-Jiun, Yen Cheng-Fang

机构信息

Department of Psychiatry, Tainan Municipal Hospital, Tainan, Taiwan.

Department of Child and Adolescent Psychiatry, Chang Gung Memorial Hospital, Kaohsiung Medical Center and College of Medicine, Chang Gung University, Kaohsiung, Taiwan.

出版信息

Kaohsiung J Med Sci. 2016 Feb;32(2):103-9. doi: 10.1016/j.kjms.2016.01.002. Epub 2016 Feb 3.

Abstract

The aim of this study was to examine the associations of behavioral temperamental traits, comorbid autism spectrum disorder (ASD), and bullying involvement with anxiety and depression among adolescents with attention-deficit/hyperactivity disorder (ADHD) in Taiwan. A total of 287 adolescents aged 11-18 years diagnosed with ADHD participated in this study. Their severities of anxiety and depression were assessed. Multiple regression analysis was used to examine the correlates of anxiety and depression. The results show that adolescents with ADHD who reported a higher behavioral inhibition system (BIS) score, had comorbid ASD, and were bullying victims, reported more severe anxiety and depressive symptoms. Adolescents with ADHD who bullied others reported more severe depressive symptoms than those who did not bully. The results of this study indicated that behavioral temperamental traits on the BIS, comorbid ASD, and bullying involvement were significantly associated with anxiety and depression among the adolescents with ADHD.

摘要

本研究旨在探讨台湾地区患有注意力缺陷多动障碍(ADHD)的青少年中,行为气质特征、共病自闭症谱系障碍(ASD)以及受欺凌情况与焦虑和抑郁之间的关联。共有287名年龄在11至18岁之间被诊断患有ADHD的青少年参与了本研究。评估了他们焦虑和抑郁的严重程度。采用多元回归分析来检验焦虑和抑郁的相关因素。结果显示,报告行为抑制系统(BIS)得分较高、患有共病ASD且是受欺凌受害者的ADHD青少年,报告的焦虑和抑郁症状更严重。欺负他人的ADHD青少年报告的抑郁症状比未欺负他人的青少年更严重。本研究结果表明,BIS上的行为气质特征、共病ASD以及受欺凌情况与ADHD青少年的焦虑和抑郁显著相关。

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