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在精神病理学的层级分类体系中,增进对广泛自闭症表型和注意缺陷/多动障碍症状维度的分类理解。

Advancing understanding of the classification of broad autism phenotype and attention-deficit/hyperactivity disorder symptom dimensions within the Hierarchical Taxonomy of Psychopathology.

机构信息

Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, Virginia, USA.

Department of Psychology, Western University, London, Ontario, Canada.

出版信息

Personal Ment Health. 2021 May;15(2):113-123. doi: 10.1002/pmh.1498. Epub 2020 Nov 22.

Abstract

Research on personality and psychopathology associations has informed the classification of many symptom dimensions within the Hierarchical Taxonomy of Psychopathology (HiTOP). However, classification of symptom dimensions defining autism and attention-deficit/hyperactivity disorder (ADHD) within the HiTOP framework remains unclear in many ways. To address this issue, we examined the joint factor structure of (a) measures assessing characteristics relevant to ADHD and autism and (b) normal range personality traits in a sample of 547 adults recruited from Amazon Mechanical Turk, many of whom reported elevated autism-relevant and ADHD-relevant characteristics. We also examined how factors identified in these analyses correlated with measures of internalizing symptoms and select externalizing traits. Our results indicated that some measures assessing autism-relevant and ADHD-relevant characteristics (e.g. communication issues, hyperactivity/impulsivity) defined a distinct Attention and Communication Difficulties factor, with scores on this factor correlating strongly with internalizing symptom ratings. However, other relevant characteristics such as aloofness may be indicators of existing HiTOP spectra such as detachment. We discuss how these findings inform classification of autism-relevant and ADHD-relevant characteristics within the HiTOP, as well as key future directions for extending the limited research in this area.

摘要

人格与精神病理学关联的研究为精神病理学层级分类(HiTOP)中许多症状维度的分类提供了信息。然而,在 HiTOP 框架内,自闭症和注意缺陷多动障碍(ADHD)的症状维度的分类在很多方面仍不明确。为了解决这个问题,我们在一个由 547 名从亚马逊 Mechanical Turk 招募的成年人组成的样本中,检查了(a)评估与 ADHD 和自闭症相关特征的测量工具和(b)正常范围人格特质的联合因子结构,其中许多人报告了自闭症相关和 ADHD 相关特征的升高。我们还检查了这些分析中确定的因子与内化症状和选择外化特征的测量结果之间的相关性。我们的结果表明,一些评估自闭症相关和 ADHD 相关特征的测量工具(例如沟通问题、多动/冲动)定义了一个独特的注意力和沟通困难因子,该因子的得分与内化症状评定高度相关。然而,其他相关特征,如冷漠,可能是现有 HiTOP 谱(如超脱)的指标。我们讨论了这些发现如何为 HiTOP 中自闭症相关和 ADHD 相关特征的分类提供信息,以及扩展该领域有限研究的关键未来方向。

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