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注意力缺陷多动障碍与伴有复杂精神表现的退伍军人中的非自杀性自伤。

Attention-deficit/hyperactivity disorder and nonsuicidal self-injury among veterans with complex psychiatric presentations.

机构信息

Durham Veterans Affairs (VA) Health Care System, Durham, NC, USA; Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.

VISN 2 Mental Illness Research, Education and Clinical Center (MIRECC), James J. Peters Veterans Affairs Medical Center, Bronx, NY, USA; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY, USA.

出版信息

Psychiatry Res. 2022 Aug;314:114618. doi: 10.1016/j.psychres.2022.114618. Epub 2022 May 10.

Abstract

Prior research suggests a possible association between attention-deficit/hyperactivity disorder (ADHD) symptoms and nonsuicidal self-injury (NSSI) in veterans. However, this association has not yet been replicated. The present study sought to replicate and expand upon this association in a gender-balanced sample of veterans (N = 124), more than half of whom had a lifetime history of NSSI. Contrary to hypotheses, adult ADHD symptoms were not associated with NSSI history or disorder. Instead, our findings suggest that disorders characterized by negative affect may have greater utility for predicting NSSI versus those characterized by impulsivity. Further research in epidemiological samples is needed.

摘要

先前的研究表明,注意力缺陷/多动障碍(ADHD)症状与退伍军人中的非自杀性自我伤害(NSSI)之间可能存在关联。然而,这种关联尚未得到复制。本研究旨在在性别平衡的退伍军人样本(N=124)中复制和扩展这种关联,其中超过一半的人有过 NSSI 的病史。与假设相反,成人 ADHD 症状与 NSSI 病史或障碍无关。相反,我们的研究结果表明,以消极情绪为特征的障碍可能比以冲动为特征的障碍更能预测 NSSI。需要在流行病学样本中进行进一步的研究。

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