Wu Shuxian, Yang Tingyu, He Yuqiong, Cui Xilong, Luo Xuerong, Liu Jianbo
National Clinical Research Center for Mental Disorders, Department of Psychiatry, The Second Xiangya Hospital, Central South University, Changsha, China.
Hunan Key Laboratory of Psychiatry and Mental Health, China National Technology Institute on Mental Disorders, Changsha, China.
Front Psychiatry. 2021 Sep 16;12:630845. doi: 10.3389/fpsyt.2021.630845. eCollection 2021.
Prior research has found that attention deficit/hyperactivity disorder (ADHD) - particularly hyperactivity symptoms - is associated with various somatic complaints. The present study further tests the relationship between hyperactivity symptoms and somatic complaints in Chinese male adolescents and explores the underlying moderating and mediating mechanisms. Our sample included 1,586 males (age = 12-16) recruited as part of an epidemiological study of child and adolescent mental disorders from April to July, 2014. Hyperactivity symptoms and somatic complaints were assessed with Achenbach's Child Behavior Checklist (CBCL), and the Childhood Trauma Questionnaire Short Form (CTQ-SF) and Adolescent Life Events Scale (ASLEC) were used to assess exposure to childhood trauma and recent life events. Adolescents with hyperactivity symptoms experienced more emotional abuse, physical abuse, life events, and reported more somatic complaints symptoms ( < 0.0083 or < 0.05). Linear regression analysis showed that hyperactivity, total childhood trauma score/emotional abuse and sexual abuse and ASLEC score significantly predicted somatic complaints (all < 0.05). Emotional abuse and life events mediated the relationship between hyperactivity symptoms and somatic complaints. Furthermore, childhood trauma moderated the path between hyperactivity symptoms and ASLEC in the moderation mediation model for predicting somatic complaints ( < 0.05). Hyperactivity symptoms had a significant impact on somatic complaints among Chinese male adolescents. Furthermore, childhood trauma and life events affected the relationship between hyperactivity symptoms and somatic complaints. Interventions for somatic complaints in male adolescents with hyperactivity symptoms should thus consider history of childhood trauma and life events.
先前的研究发现，注意力缺陷/多动障碍（ADHD）——尤其是多动症状——与各种躯体不适有关。本研究进一步检验了中国男性青少年多动症状与躯体不适之间的关系，并探讨了潜在的调节和中介机制。我们的样本包括1586名男性（年龄在12至16岁之间），他们是2014年4月至7月一项儿童和青少年精神障碍流行病学研究的一部分。使用阿肯巴克儿童行为量表（CBCL）评估多动症状和躯体不适，并用儿童创伤问卷简表（CTQ-SF）和青少年生活事件量表（ASLEC）评估童年创伤暴露和近期生活事件。有多动症状的青少年经历了更多的情感虐待、身体虐待、生活事件，并且报告了更多的躯体不适症状（<0.0083或<0.05）。线性回归分析表明，多动、童年创伤总分/情感虐待和性虐待以及ASLEC得分显著预测了躯体不适（均<0.05）。情感虐待和生活事件介导了多动症状与躯体不适之间的关系。此外，在预测躯体不适的调节中介模型中，童年创伤调节了多动症状与ASLEC之间的路径（<0.05）。多动症状对中国男性青少年的躯体不适有显著影响。此外，童年创伤和生活事件影响了多动症状与躯体不适之间的关系。因此，对有多动症状的男性青少年的躯体不适进行干预时应考虑童年创伤史和生活事件。
