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多动症儿童的气质性消极情绪、特定情绪调节以及同时出现的内化和外化病理症状

Temperamental negative affect, emotion-specific regulation, and concurrent internalizing and externalizing pathology among children with ADHD.

作者信息

Leaberry Kirsten D, Rosen Paul J, Slaughter Kelly E, Reese Joseph, Fogleman Nicholas D

机构信息

Department of Psychological and Brain Sciences, University of Louisville, Life Sciences Building, Room 317, Louisville, KY, 40292, USA.

Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.

出版信息

Atten Defic Hyperact Disord. 2019 Sep;11(3):311-324. doi: 10.1007/s12402-019-00294-8. Epub 2019 Mar 23.

Abstract

Children with attention-deficit/hyperactivity disorder (ADHD) experience high rates of temperamental negative affect and comorbid internalizing and externalizing pathology. The current study explored the role of emotion-specific regulation in accounting for the link between temperamental negative affect and psychopathology among children with ADHD. Forty parents of children ages 8-11 (N =29 males, N =11 females) completed measures of child temperament, emotion-specific dysregulation (i.e., anger dysregulation, sadness dysregulation), and psychopathology. Children completed a measure of emotion-specific dysregulation. Results revealed that anger dysregulation fully statistically accounted for the relationship between temperamental negative affect and concurrent externalizing problems. Sadness dysregulation did not account for the relationship between temperamental negative affect and internalizing problems. These novel findings implicate the robust role of anger dysregulation in explaining the link between temperamental negative affect and concurrent externalizing pathology. The results of this study have significant implications for the treatment of emotionally driven externalizing behavior among children with ADHD.

摘要

患有注意力缺陷多动障碍(ADHD)的儿童情绪气质性负面影响发生率较高,且存在共病的内化和外化心理病理学问题。本研究探讨了特定情绪调节在解释ADHD儿童气质性负面影响与心理病理学之间联系中的作用。40名8至11岁儿童的家长(N = 29名男性,N = 11名女性)完成了儿童气质、特定情绪调节障碍(即愤怒调节障碍、悲伤调节障碍)和心理病理学的测量。儿童完成了一项特定情绪调节障碍的测量。结果显示,愤怒调节障碍在统计学上完全解释了气质性负面影响与同时出现的外化问题之间的关系。悲伤调节障碍并不能解释气质性负面影响与内化问题之间的关系。这些新发现表明,愤怒调节障碍在解释气质性负面影响与同时出现的外化心理病理学之间的联系中起着重要作用。本研究结果对治疗ADHD儿童中由情绪驱动的外化行为具有重要意义。

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