Murray Aja Louise, Caye Arthur, McKenzie Karen, Auyeung Bonnie, Murray George, Ribeaud Denis, Freeston Mark, Eisner Manuel
University of Cambridge, UK.
The University of Edinburgh, UK.
J Atten Disord. 2022 Jan;26(1):109-118. doi: 10.1177/1087054720908333. Epub 2020 Mar 14.
Significant anxiety often occurs in the presence of ADHD symptoms; however, the reasons are not well understood. We aimed to establish whether the relations between ADHD symptons and anxiety are bidirectional or unidirectional.
Weexamined the developmental relations between ADHD and anxiety symptoms across adolescence (ages 13, 15, and 17) in a community-ascertained, normative longitudinal sample of 1,483 youth (52% male). We used an autoregressive latent trajectory model with structured residuals (ALT-SR) to examine within-person developmental relations between ADHD and anxiety symptoms to determine whether it is ADHD symptoms that lead to anxiety symptoms and/or the reverse.
Results suggested that there are reciprocal within-person developmental relations between ADHD and anxiety symptoms.
Our findings support the recommendation that targeting ADHD symptoms can be fruitful for addressing anxiety symptoms; however, they suggest that targeting anxiety symptoms may also benefit ADHD symptoms. Results also underline the importance of careful assessment for underlying ADHD symptoms among adolescents presenting with anxiety.
明显的焦虑常在多动症症状出现时发生；然而，其原因尚未完全明确。我们旨在确定多动症症状与焦虑之间的关系是双向的还是单向的。
我们在一个社区确定的、具有代表性的纵向样本中，对1483名青少年（52%为男性）在青春期（13岁、15岁和17岁）期间多动症和焦虑症状的发展关系进行了研究。我们使用了具有结构化残差的自回归潜变量轨迹模型（ALT-SR）来检验多动症和焦虑症状在个体内部的发展关系，以确定是多动症症状导致焦虑症状和/或反之。
结果表明，多动症和焦虑症状在个体内部存在相互的发展关系。
我们的研究结果支持这样的建议，即针对多动症症状可能有助于解决焦虑症状；然而，研究结果表明，针对焦虑症状也可能对多动症症状有益。研究结果还强调了对有焦虑症状的青少年仔细评估潜在多动症症状的重要性。
