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注意缺陷多动障碍与情绪产生和表达的失调。

Attention-Deficit Hyperactivity Disorder and the Dysregulation of Emotion Generation and Emotional Expression.

机构信息

Department of Psychiatry and Behavioral Sciences, Joe R. and Teresa Lozano Long School of Medicine, University of Texas Health Science Center at San Antonio, 7703 Floyd Curl Drive, Mail Stop 7719, San Antonio, TX 78229, USA.

出版信息

Child Adolesc Psychiatr Clin N Am. 2021 Apr;30(2):349-360. doi: 10.1016/j.chc.2020.10.005. Epub 2021 Feb 15.

DOI:10.1016/j.chc.2020.10.005
PMID:33743943
Abstract

Individuals with attention-deficit/hyperactivity disorder (ADHD) frequently experience strong reactions to emotionally evocative situations. Difficulties modulating anger and other upsets have clinically significant behavioral consequences. Those with ADHD may have anomalies in emotion generation, emotion expression, or both that predispose to these problems. The association between ADHD and emotion dysregulation raises Important clinical and research issues, including possible heterogeneity in the mechanisms by which they are related. Although first-line treatments for ADHD often help to resolve emotional dysregulation symptoms as well, the evidence base for widespread practice of combination pharmacotherapy remains sparse. Psychosocial treatments that engage processes underlying emotional dysregulation are in development.

摘要

患有注意缺陷多动障碍(ADHD)的个体经常对情感唤起的情况产生强烈反应。调节愤怒和其他不安的困难有临床显著的行为后果。那些患有 ADHD 的人可能在情绪产生、情绪表达或两者方面存在异常,从而导致这些问题。ADHD 与情绪调节障碍之间的关联提出了重要的临床和研究问题,包括它们相关的机制可能存在异质性。尽管 ADHD 的一线治疗通常也有助于解决情绪调节障碍症状,但联合药物治疗广泛应用的证据基础仍然很少。正在开发涉及情绪调节障碍基础过程的心理社会治疗。

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