Department of Psychology, University of Edinburgh, Edinburgh, UK.
J Child Psychol Psychiatry. 2022 Dec;63(12):1583-1590. doi: 10.1111/jcpp.13624. Epub 2022 Apr 29.
Previous research has suggested that children with attention-deficit/hyperactivity disorder (ADHD) symptoms commonly show emotion dysregulation difficulties. These difficulties may partly explain the strong tendency for internalizing problems such as anxiety and depression to co-occur with ADHD symptoms. However, no study has yet provided a longitudinal analysis of the within-person links between ADHD symptoms, emotion dysregulation, and internalizing problems necessary to examine this hypothesis from a developmental perspective.
We used data from the age 3, 5, and 7 waves of the large UK population-representative Millennium Cohort Study (n = 9,619, 4,885 males) and fit gender-stratified autoregressive latent trajectory models with structured residuals (ALT-SR) to disaggregate within- and between-person relations between ADHD symptom, emotion dysregulation, and internalizing problem symptoms.
We found that emotion dysregulation significantly mediated the longitudinal within-person association between ADHD symptoms and internalizing problems.
Results underline the promise of targeting emotion dysregulation as a means of preventing internalizing problems co-occurring with ADHD symptoms.
先前的研究表明，患有注意力缺陷/多动障碍（ADHD）症状的儿童通常表现出情绪调节困难。这些困难部分解释了为什么与 ADHD 症状同时出现的内化问题（如焦虑和抑郁）的趋势很强。然而，尚无研究从发展角度对 ADHD 症状、情绪调节和内化问题之间的个体内联系进行纵向分析，以检验这一假设。
我们使用了来自大型英国人群代表性千禧年队列研究（n=9619 名，4885 名男性）的 3、5 和 7 波数据，并拟合了具有结构化残差的性别分层自回归潜在轨迹模型（ALT-SR），以分解 ADHD 症状、情绪调节和内化问题症状之间的个体内和个体间关系。
我们发现情绪调节显著中介了 ADHD 症状和内化问题之间的纵向个体内关联。
研究结果强调了将情绪调节作为预防 ADHD 症状与内化问题同时出现的一种手段的潜力。
