Kysow Kate, Park Joanne, Johnston Charlotte
Department of Psychology, University of British Columbia, 2136 West Mall, Vancouver, BC, V6T 1Z4, Canada.
Atten Defic Hyperact Disord. 2017 Jun;9(2):73-88. doi: 10.1007/s12402-016-0205-6. Epub 2016 Sep 10.
This study examined the use of compensatory strategies reported by adults with ADHD symptoms and their relation to measures of functioning. Forty-nine adults (55.1 % female) completed a structured diagnostic interview to assess ADHD, and responses were coded for compensatory strategies: Adaptation, Paying Attention, Organization, External Support, and Avoidance. The majority of adults with ADHD symptoms reported using compensatory strategies, and their reported strategy use in childhood was related to their use in adulthood. No gender differences were found in the use of strategies, although Organization and External Support were used more often for inattention than for hyperactive/impulsive symptoms. Use of the compensatory strategy, Adaptation, was significantly related to measures of functioning, and the use of strategies reduced the negative relationship between ADHD symptoms and parenting difficulties. Results encourage the development of compensatory strategies among adults with ADHD symptoms, as well as provide recommendations for treatment programs.
本研究调查了有注意力缺陷多动障碍（ADHD）症状的成年人所报告的代偿策略的使用情况及其与功能测量指标的关系。49名成年人（55.1%为女性）完成了一项结构化诊断访谈以评估ADHD，并对其回答进行编码以确定代偿策略：适应、集中注意力、组织、外部支持和回避。大多数有ADHD症状的成年人报告使用了代偿策略，他们在童年时期报告的策略使用情况与成年时期的使用情况相关。在策略使用方面未发现性别差异，尽管组织和外部支持用于注意力不集中症状的频率高于多动/冲动症状。代偿策略“适应”的使用与功能测量指标显著相关，并且策略的使用减少了ADHD症状与养育困难之间的负相关关系。研究结果鼓励为有ADHD症状的成年人制定代偿策略，并为治疗方案提供建议。
