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成人注意缺陷多动障碍与早期适应不良图式。

Adult attention deficit hyperactivity disorder and early maladaptive schemas.

机构信息

Department of Psychiatry, Hitit University Erol Olçok Training and Research Hospital, Çorum, Turkey.

Department of Psychiatry, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey.

出版信息

Clin Psychol Psychother. 2021 Sep;28(5):1055-1064. doi: 10.1002/cpp.2569. Epub 2021 Feb 24.

Abstract

The purpose of the current study is to present the early maladaptive schemas in adult attention deficit hyperactivity disorder (ADHD). The study sample comprised 107 participants, including 55 adult ADHD and 52 healthy volunteers. The age of the participants ranged between 18 and 32 years. Structured Clinical Interview Form for DSM-IV Axis I (SCID-I) and Structured Clinical Interview Form for DSM-III-R Disorders (SCID-II) were applied to all participants and Diagnostic Interview for ADHD (DIVA) for ADHD group based on DSM-5 criteria. The participants filled the Young Schema Questionnaire (YSQ-S3), Adult ADHD Self-Report Scale (ASRS), Wender Utah RatingScale-25 (WURS), Beck Depression Inventory (BDI) and The Beck Anxiety Inventory (BAI). All maladaptive schemas were found to be statistically significantly higher in the ADHD group. As compatible with ADHD core symptoms, "Failure," "Emotional Inhibition," "Insufficient Self-Control" and "Social Isolation" were the most seen maladaptive schemas in the ADHD group. "Approval Seeking," "Entitlement/Grandiosity" and "Punitiveness" were found the weakest schemas in the ADHD group. This study besides supporting the theory of early maladaptive schemas suggests that identifying and modifying maladaptive schemas interventions based on specific schemas can be an important and useful method for psychotherapy in treatment of ADHD.

摘要

本研究旨在介绍成人注意缺陷多动障碍(ADHD)中的早期适应不良模式。研究样本包括 107 名参与者,其中 55 名成年 ADHD 患者和 52 名健康志愿者。参与者年龄在 18 至 32 岁之间。对所有参与者应用了 DSM-IV 轴 I 结构临床访谈表(SCID-I)和 DSM-III-R 障碍结构临床访谈表(SCID-II),以及根据 DSM-5 标准对 ADHD 组应用了 ADHD 诊断访谈表(DIVA)。参与者填写了 Young Schema Questionnaire(YSQ-S3)、成人 ADHD 自评量表(ASRS)、Wender Utah Rating Scale-25(WURS)、贝克抑郁量表(BDI)和贝克焦虑量表(BAI)。所有适应不良模式在 ADHD 组中均被发现具有统计学意义上的显著差异。与 ADHD 的核心症状一致,“失败”、“情感抑制”、“自我控制不足”和“社会孤立”是 ADHD 组中最常见的适应不良模式。“寻求认可”、“权利/自大”和“惩罚性”被发现是 ADHD 组中最薄弱的模式。本研究除了支持早期适应不良模式理论外,还表明识别和修改基于特定模式的适应不良模式的干预措施,可能是治疗 ADHD 的心理治疗中的一种重要且有用的方法。

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