Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Centre, Nijmegen, The Netherlands.
Karakter, Child and Adolescent Psychiatry, University Center, Reinier Postlaan 12, 6525 GC, Nijmegen, The Netherlands.
Eur Child Adolesc Psychiatry. 2019 Sep;28(9):1241-1251. doi: 10.1007/s00787-019-01279-8. Epub 2019 Feb 13.
To get additional insight into the phenotype of attentional problems, we examined to what extent genetic and environmental factors explain covariation between lack of dispositional mindfulness and attention-deficit/hyperactivity disorder (ADHD) traits in youth, and explored the incremental validity of these constructs in predicting life satisfaction. We used data from a UK population-representative sample of adolescent twins (N = 1092 pairs) on lack of dispositional mindfulness [Mindful Attention Awareness Scale (MAAS)], ADHD traits [Conners' Parent Rating Scale-Revised (CPRS-R): inattentive (INATT) and hyperactivity/impulsivity (HYP/IMP) symptom dimensions] and life satisfaction (Students' Life Satisfaction Scale). Twin model fitting analyses were conducted. Phenotypic correlations (r) between MAAS and CPRS-R (INATT: r = 0.18, HYP/IMP: r = 0.13) were small, but significant and largely explained by shared genes for INATT (% r INATT-MAAS due to genes: 93%, genetic correlation r = 0.37) and HYP/IMP (% r HYP/IMP-MAAS due to genes: 81%; genetic correlation r = 0.21) with no significant contribution of environmental factors. MAAS, INATT and HYP/IMP significantly and independently predicted life satisfaction. Lack of dispositional mindfulness, assessed as self-reported perceived lapses of attention (MAAS), taps into an aspect of attentional functioning that is phenotypically and genetically distinct from parent-rated ADHD traits. The clinically relevant incremental validity of both scales implicates that MAAS could be used to explore the underlying mechanisms of an aspect of attentional functioning that uniquely affects life satisfaction and is not captured by DSM-based ADHD scales. Further future research could identify if lack of dispositional mindfulness and high ADHD traits can be targeted by different therapeutic approaches resulting in different effects on life satisfaction.
为了更深入地了解注意力问题的表现,我们研究了遗传和环境因素在多大程度上可以解释青少年中缺乏习惯性正念与注意力缺陷多动障碍(ADHD)特征之间的相互关系,并探讨了这些结构在预测生活满意度方面的额外有效性。我们使用了来自英国代表性青少年双胞胎样本的数据(共 1092 对双胞胎),对缺乏习惯性正念[正念注意觉察量表(MAAS)]、ADHD 特征[康纳斯父母评定量表修订版(CPRS-R):注意力不集中(INATT)和多动/冲动(HYP/IMP)症状维度]和生活满意度(学生生活满意度量表)进行了研究。我们进行了双胞胎模型拟合分析。MAAS 和 CPRS-R(INATT:r=0.18,HYP/IMP:r=0.13)之间的表型相关性很小,但很显著,且主要由 INATT(MAAS 归因于基因的% r INATT:93%,遗传相关 r=0.37)和 HYP/IMP(MAAS 归因于基因的% r HYP/IMP:81%;遗传相关 r=0.21)的共同基因解释,环境因素没有显著贡献。MAAS、INATT 和 HYP/IMP 显著且独立地预测了生活满意度。缺乏习惯性正念,通过自我报告的注意力不集中(MAAS)来评估,反映了注意力功能的一个方面,该方面在表型和遗传上与父母评定的 ADHD 特征不同。这两个量表的临床相关增量有效性表明,MAAS 可用于探索注意力功能的一个方面的潜在机制,该方面独特地影响生活满意度,并且不能被基于 DSM 的 ADHD 量表所捕捉。未来的进一步研究可以确定缺乏习惯性正念和高 ADHD 特征是否可以通过不同的治疗方法来靶向,从而对生活满意度产生不同的影响。