行为成瘾门诊患者临床样本中的成人注意力缺陷多动障碍诊断、冲动症状及情绪失调
Adult ADHD Diagnosis, Symptoms of Impulsivity, and Emotional Dysregulation in a Clinical Sample of Outpatients Consulting for a Behavioral Addiction.
作者信息
El Archi Sarah, Barrault Servane, Garcia Manuel, Branger Stéphanie, Maugé Damien, Ballon Nicolas, Brunault Paul
机构信息
Qualipsy, EE1901, Université de Tours, Tours, France.
Centre de Soins d'Accompagnement et de Prévention en Addictologie (CSAPA-37), Tours, France.
出版信息
J Atten Disord. 2023 May;27(7):731-742. doi: 10.1177/10870547231161336. Epub 2023 Mar 21.
OBJECTIVE
This study aimed to investigate ADHD in adult outpatients seeking treatment for a behavioral addiction and to identify the specificity of psychopathological features if the behavioral addiction cooccurs with adult ADHD.
METHOD
Sixty-five outpatients consulting for a behavioral addiction were assessed for ADHD (DIVA-5), addictive disorder (alcohol, tobacco, cannabis, gambling, gaming, food, and sex), impulsivity (UPPS-P), and emotion dysregulation (DERS-36).
RESULTS
In our sample of outpatients seeking treatment for a behavioral addiction, adult ADHD was independently associated with higher compulsive sexual behavior disorder severity, "sensation seeking," "positive urgency," difficulties in "goal-directed behavior," "impulse control," and use of "emotion regulation strategies" in the context of intense emotions. A 29% of the sample was diagnosed for adult ADHD.
CONCLUSION
The association of adult ADHD with specific dimensions of impulsivity and emotion dysregulation, pave the way for future clinical and research perspectives.
目的
本研究旨在调查寻求行为成瘾治疗的成年门诊患者中的注意力缺陷多动障碍（ADHD），并确定行为成瘾与成人ADHD共病时心理病理特征的特异性。
方法
对65名因行为成瘾前来咨询的门诊患者进行了ADHD评估（DIVA-5）、成瘾障碍评估（酒精、烟草、大麻、赌博、游戏、食物和性）、冲动性评估（UPPS-P）和情绪调节障碍评估（DERS-36）。
结果
在我们寻求行为成瘾治疗的门诊患者样本中，成人ADHD与强迫性行为障碍严重程度较高、“感觉寻求”、“积极紧迫感”、“目标导向行为”困难、“冲动控制”以及在强烈情绪背景下使用“情绪调节策略”独立相关。29%的样本被诊断为成人ADHD。
结论
成人ADHD与冲动性和情绪调节障碍的特定维度之间的关联，为未来的临床和研究前景铺平了道路。
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