Deakin University Geelong, Deakin Child Study Centre, School of Psychology, Faculty of Health, Victoria, Australia; Centre for Community Child Health, Murdoch Children's Research Institute, Melbourne, Victoria, Australia.
Centre for Community Child Health, Murdoch Children's Research Institute, Melbourne, Victoria, Australia; Department of Paediatrics, University of Melbourne, Melbourne, Australia.
Psychiatry Res. 2019 Mar;273:402-421. doi: 10.1016/j.psychres.2019.01.039. Epub 2019 Jan 14.
Although up to 50% of children with Attention-Deficit/Hyperactivity Disorder (ADHD) meet criteria for an anxiety disorder, it is unclear how comorbid anxiety influences social functioning for this population. Understanding the factors associated with social functioning in ADHD is important given the limited efficacy of existing social skills interventions for this population. This systematic review aimed to determine the association between anxiety and social functioning (social problems, peer status, and social skills/ competence) in children and adolescents with ADHD. A standardised search protocol was used, identifying 4807 articles for screening with 31 included in the final review. Anxiety symptom severity was associated with lower levels of social skills and higher levels of social problems in young people with ADHD. However, few differences emerged when defining anxiety based on diagnostic measures. Although the results varied considerably amongst studies, a number of key variables emerged that influenced the associations between anxiety and social functioning including the type of reporter and sample characteristics such as age, sex, ADHD subtype and other mental health comorbidities. These findings have implications for social functioning interventions in ADHD given the role of anxiety symptoms in predicting poorer social functioning.
尽管多达 50%的注意缺陷多动障碍（ADHD）儿童符合焦虑症标准，但尚不清楚共病焦虑如何影响该人群的社交功能。鉴于针对该人群的现有社交技能干预措施效果有限，了解与 ADHD 患者社交功能相关的因素非常重要。本系统评价旨在确定 ADHD 儿童和青少年的焦虑症与社交功能（社交问题、同伴地位和社交技能/能力）之间的关系。使用标准化的搜索协议，共筛选出 4807 篇文章，最终有 31 篇文章纳入综述。焦虑症症状严重程度与 ADHD 青少年社交技能水平较低和社交问题水平较高有关。然而，根据诊断测量来定义焦虑症时，差异不大。尽管研究结果差异很大，但出现了一些关键变量，这些变量影响了焦虑症与社交功能之间的关系，包括报告人的类型以及年龄、性别、ADHD 亚型和其他精神共病等样本特征。鉴于焦虑症状可预测较差的社交功能，这些发现对 ADHD 的社交功能干预具有重要意义。
