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情绪和感觉调节障碍可能是注意力缺陷多动障碍中缺失的环节:一项综述。

Emotional and sensory dysregulation as a possible missing link in attention deficit hyperactivity disorder: A review.

作者信息

Grossman Anna, Avital Avi

机构信息

Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.

出版信息

Front Behav Neurosci. 2023 Mar 2;17:1118937. doi: 10.3389/fnbeh.2023.1118937. eCollection 2023.


DOI:10.3389/fnbeh.2023.1118937
PMID:36935890
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10017514/
Abstract

Attention Deficit Hyperactivity Disorder (ADHD) is a common developmental disorder affecting 5-7% of adults and children. We surveyed the literature to examine ADHD through three pillars: developmental characteristics, symptomatology, and treatment strategies. Firstly, in terms of developmental characterstics, early life stress may increase the risk of developing ADHD symptoms according to animal models' research. Secondly, the current core symptoms of ADHD are comprised of inattention, hyperactivity, and impulsivity. However, the up-to-date literature indicates individuals with ADHD experience emotional and sensory dysregulation as well, which early-life stress may also increase the risk of. Finally, we discuss the therapeutic benefits of methylphenidate on both the current core ADHD symptoms and the sensory and emotional dysregulation found in those with ADHD. In summation, we surveyed the recent literature to analyze (i) the potential role of early-life stress in ADHD development, (ii) the involvement of emotional and sensory dysregulation in ADHD symptomatology and finally, (iii) the therapeutic intervention with methylphenidate, aiming to reduce the potential effect of early life stress in ADHD, and mainly emotional and sensory dysregulation. The apparent but currently less recognized additional symptoms of emotional and sensory dysregulation in ADHD call for further investigation of these possible causes and thus increasing treatments efficacy in individuals with ADHD.

摘要

注意缺陷多动障碍(ADHD)是一种常见的发育障碍,影响着5%至7%的成年人和儿童。我们查阅了相关文献,从三个方面来审视ADHD:发育特征、症状学和治疗策略。首先,在发育特征方面,根据动物模型研究,早期生活压力可能会增加出现ADHD症状的风险。其次,ADHD目前的核心症状包括注意力不集中、多动和冲动。然而,最新文献表明,ADHD患者还存在情绪和感觉调节障碍,早期生活压力也可能增加这种风险。最后,我们讨论了哌甲酯对ADHD当前核心症状以及ADHD患者中发现的感觉和情绪调节障碍的治疗效果。总之,我们查阅了近期文献,以分析(i)早期生活压力在ADHD发展中的潜在作用,(ii)情绪和感觉调节障碍在ADHD症状学中的作用,以及最后(iii)哌甲酯的治疗干预,旨在减少早期生活压力对ADHD的潜在影响,主要是对情绪和感觉调节障碍的影响。ADHD中明显但目前尚未得到充分认识的情绪和感觉调节障碍的附加症状,需要对这些可能的原因进行进一步研究,从而提高ADHD患者的治疗效果。

相似文献

[1]
Emotional and sensory dysregulation as a possible missing link in attention deficit hyperactivity disorder: A review.

Front Behav Neurosci. 2023-3-2

[2]
[Is emotional dysregulation a component of attention-deficit/hyperactivity disorder (ADHD)?].

Encephale. 2015-4

[3]
Improvements in Irritability with Open-Label Methylphenidate Treatment in Youth with Comorbid Attention Deficit/Hyperactivity Disorder and Disruptive Mood Dysregulation Disorder.

J Child Adolesc Psychopharmacol. 2018-6

[4]
Types of adult attention-deficit hyperactivity disorder (ADHD): baseline characteristics, initial response, and long-term response to treatment with methylphenidate.

Atten Defic Hyperact Disord. 2015-6

[5]
Practical considerations for the evaluation and management of Attention Deficit Hyperactivity Disorder (ADHD) in adults.

Encephale. 2020-2

[6]
Effect of Methylphenidate on Emotional Dysregulation in Children With Attention-Deficit/Hyperactivity Disorder + Oppositional Defiant Disorder/Conduct Disorder.

J Clin Psychopharmacol. 2017-4

[7]
Randomised controlled trial of the short-term effects of OROS-methylphenidate on ADHD symptoms and behavioural outcomes in young male prisoners with attention-deficit/hyperactivity disorder (CIAO-II).

Trials. 2019-12-2

[8]
Emotional dysregulation in adult ADHD: What is the empirical evidence?

Expert Rev Neurother. 2012-10

[9]
Multimodal treatment efficacy differs in dependence of core symptom profiles in adult Attention-Deficit/Hyperactivity Disorder: An analysis of the randomized controlled COMPAS trial.

J Psychiatr Res. 2022-7

[10]
Twenty-four-week treatment with extended release methylphenidate improves emotional symptoms in adult ADHD.

World J Biol Psychiatry. 2010-8

引用本文的文献

[1]
The Relationship Between Chronic Pruritus, Attention-Deficit/Hyperactivity Disorder, and Skin Picking-A Case Series and Narrative Review.

J Clin Med. 2025-3-6

[2]
Trauma and Sensory Systems: Biological Mechanisms Involving the Skin and the 17q21 Gene Cluster.

Biol Psychiatry. 2025-5-1

[3]
Measuring clinical outcomes in adult ADHD clinics: psychometrics of a new scale, the adult ADHD Clinical Outcome Scale.

BJPsych Open. 2024-10-14

本文引用的文献

[1]
Methylphenidate Use for Emotional Dysregulation in Children and Adolescents with ADHD and ADHD and ASD: A Naturalistic Study.

J Clin Med. 2022-5-22

[2]
Emotions and sensory processing in adolescents: The effect of childhood traumatic experiences.

J Psychiatr Res. 2022-7

[3]
Pain sensitivity and perceptual sensitivity are associated with severity of emotional dysregulation in children with ADHD: a cross-sectional analysis using the Temperament in Middle Childhood Questionnaire.

Disabil Rehabil. 2023-3

[4]
Heart Rate Variability in Children and Adolescents with Autism, ADHD and Co-occurring Autism and ADHD, During Passive and Active Experimental Conditions.

J Autism Dev Disord. 2022-11

[5]
Attention Dysregulation in Breast Cancer Patients Following a Complementary Alternative Treatment Routine: A Double-Blind Randomized Trial.

Integr Cancer Ther. 2021

[6]
Central autonomic regulation assessed by pupillary light reflex is impaired in children with attention deficit hyperactivity disorder.

Physiol Res. 2020-12-31

[7]
Neural correlates of shared sensory symptoms in autism and attention-deficit/hyperactivity disorder.

Brain Commun. 2020-11-2

[8]
White matter alterations in autism spectrum disorder and attention-deficit/hyperactivity disorder in relation to sensory profile.

Mol Autism. 2020-10-19

[9]
The Contribution of Sensory Sensitivity to Emotional Lability in Children with ADHD Symptoms.

Evid Based Pract Child Adolesc Ment Health. 2019

[10]
Atypical Emotional Electrodermal Activity in Toddlers with Autism Spectrum Disorder.

Autism Res. 2020-9

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