Deotto Angela, Eastwood John D, Toplak Maggie E
Department of Psychology, York University, Behavioural Science Building, Room 297, 4700 Keele St, Toronto, Ontario, M3J 1P3, Canada.
Child Psychiatry Hum Dev. 2022 Feb;53(1):109-123. doi: 10.1007/s10578-020-01116-z. Epub 2021 Jan 5.
The current study investigated temperament profiles associated with internalizing symptoms and externalizing behavior in adolescents with ADHD. Participants were 121 adolescents (90 males) with ADHD, ranging in age from 13 to 18 years (M = 15.40, SD = 1.59). Emotional and behavioral ratings were obtained using the Strengths and Difficulties Questionnaire (SDQ) and temperament profiles were assessed by administering the Temperament and Character Inventory (TCI). Multivariate profile analyses and post hoc tests revealed that youth high in internalizing symptoms were significantly higher in harm avoidance and lower in self-directedness. Youth high in externalizing behavior were significantly lower in cooperativeness. No cognitive differences were observed across groups, but youth high in externalizing behavior had more ADHD symptoms and greater impairment in daily life. Findings reveal unique temperament factors associated with comorbid concerns, which may have implications for adapting and personalizing intervention efforts based on these different profiles within adolescents with ADHD.
当前的研究调查了患有注意力缺陷多动障碍（ADHD）的青少年中与内化症状和外化行为相关的气质特征。研究参与者为121名患有ADHD的青少年（90名男性），年龄在13至18岁之间（M = 15.40，SD = 1.59）。使用长处与困难问卷（SDQ）获得情绪和行为评分，并通过施测气质与性格量表（TCI）评估气质特征。多变量特征分析和事后检验显示，内化症状严重的青少年在回避伤害方面显著更高，而在自我导向方面更低。外化行为严重的青少年在合作性方面显著更低。各群体之间未观察到认知差异，但外化行为严重的青少年有更多的ADHD症状，并且在日常生活中功能损害更大。研究结果揭示了与共病问题相关的独特气质因素，这可能对根据患有ADHD的青少年的这些不同特征调整和个性化干预措施具有启示意义。
