应对压力策略对 ADHD 患者生活障碍的作用。
The role of stress coping strategies for life impairments in ADHD.
机构信息
Institute for Forensic Psychology and Psychiatry, Saarland University, Homburg, Germany.
Department of Developmental Psychology, Saarland University, Saarbruecken, Germany.
出版信息
J Neural Transm (Vienna). 2021 Jul;128(7):981-992. doi: 10.1007/s00702-021-02311-5. Epub 2021 Mar 9.
Abstract
Attention-deficit/hyperactivity disorder (ADHD) is commonly accompanied by functional impairments within personal, professional, and social context as well as further psychological distress. The role of perceived stress has been examined in this regard, although little is known about the influence of stress coping strategies. We examined the dynamics between ADHD symptomatology, stress coping strategies, and life impairments in a sample of 230 clinical and non-clinical adult individuals. ADHD was associated with low probability of choosing adaptive but high probability of implementing maladaptive stress coping strategies as well as with increased life impairments. Adaptive stress coping showed little effects beyond the associations between ADHD and life impairments, whereas some maladaptive coping strategies increased current life impairments over and above the effects of ADHD and further psychological distress. The present findings emphasize the need of professional support in adults with ADHD and the necessity to include stress coping strategies in respective treatment approaches aimed at reducing life impairments.
摘要
注意缺陷多动障碍（ADHD）常伴有个人、职业和社会环境中的功能障碍以及进一步的心理困扰。在这方面，已经研究了感知到的压力的作用，尽管对于压力应对策略的影响知之甚少。我们在 230 名临床和非临床成年个体样本中研究了 ADHD 症状、压力应对策略和生活障碍之间的动态关系。ADHD 与选择适应性策略的可能性低但实施不良应对策略的可能性高以及生活障碍增加有关。适应性压力应对策略除了 ADHD 与生活障碍之间的关联外，影响较小，而一些不良应对策略除了 ADHD 和进一步的心理困扰之外，还会增加当前的生活障碍。本研究结果强调了 ADHD 成人需要专业支持，以及在旨在减少生活障碍的治疗方法中需要纳入压力应对策略的必要性。
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