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Aging Ment Health. 2022 Dec;26(12):2390-2398. doi: 10.1080/13607863.2021.1998350. Epub 2021 Nov 28.
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Emotion dysregulation and integration of emotion-related brain networks affect intraindividual change in ADHD severity throughout late adolescence.情绪失调和情绪相关脑网络的整合会影响 ADHD 严重程度在青少年后期的个体内变化。
Neuroimage. 2021 Dec 15;245:118729. doi: 10.1016/j.neuroimage.2021.118729. Epub 2021 Nov 20.
3
Examining sex differences in neurodevelopmental and psychiatric genetic risk in anxiety and depression.探讨焦虑和抑郁神经发育和精神遗传风险中的性别差异。
PLoS One. 2021 Sep 2;16(9):e0248254. doi: 10.1371/journal.pone.0248254. eCollection 2021.
4
Attachment Anxiety Moderates the Association Between ADHD and Psychological Distress.依恋焦虑调节 ADHD 与心理困扰之间的关联。
Psychiatr Q. 2021 Dec;92(4):1711-1724. doi: 10.1007/s11126-021-09919-6. Epub 2021 Jul 10.
5
Social deficits in high school students with attention-deficit/hyperactivity disorder and the role of emotion dysregulation.高中生注意缺陷多动障碍的社交缺陷及情绪调节障碍的作用。
Sch Psychol. 2020 Jul;35(4):233-242. doi: 10.1037/spq0000392.
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Front Psychol. 2020 May 26;11:946. doi: 10.3389/fpsyg.2020.00946. eCollection 2020.
7
Executive Functions and Emotion Regulation in Attention-Deficit/Hyperactivity Disorder and Borderline Intellectual Disability.注意力缺陷/多动障碍与边缘智力障碍中的执行功能和情绪调节
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8
Differentiating Symptoms of ADHD in Preschoolers: The Role of Emotion Regulation and Executive Function.鉴别学龄前儿童注意缺陷多动障碍的症状：情绪调节和执行功能的作用。
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9
Reappraisal is an effective emotion regulation strategy in children with Tourette syndrome and ADHD.再评估是抽动秽语综合征和注意缺陷多动障碍儿童的一种有效的情绪调节策略。
J Behav Ther Exp Psychiatry. 2020 Sep;68:101541. doi: 10.1016/j.jbtep.2019.101541. Epub 2019 Dec 11.
10
Prevalence of ADHD and Its Comorbidities in a Population-Based Sample.基于人群样本的 ADHD 患病率及其共病情况。
J Atten Disord. 2021 Jun;25(8):1058-1067. doi: 10.1177/1087054719886372. Epub 2019 Dec 13.

[注意缺陷多动障碍儿童症状与焦虑问题之间情绪调节策略的中介作用]

[The mediating role of emotion regulation strategies between symptoms and anxiety problems in children with attention deficit hyperactivity disorder].

作者信息

Zhong Lin, Zhang Jing, Zuo Peng-Xiang

机构信息

Medical College of Shihezi University, Shihezi, Xinjiang 832000, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2023 Mar 15;25(3):259-264. doi: 10.7499/j.issn.1008-8830.2210035.

DOI:10.7499/j.issn.1008-8830.2210035
PMID:36946160
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10032079/
Abstract

OBJECTIVES

To study the mediating role of emotion regulation strategies between symptoms and anxiety problems in children with attention deficit hyperactivity disorder (ADHD).

METHODS

Convenience cluster sampling was performed to select 435 eligible children with ADHD from 10 211 students in 10 elementary schools in Kashgar of Xinjiang Uygur Autonomous Region. SNAP-IV Assessment Scale, Emotion Regulation Questionnaire for Children and Adolescents, and Conners Parent Symptoms Questionnaire were used to obtain relevant information. The Spearman correlation analysis and the moderated mediation method were used for data analysis.

RESULTS

For the children with ADHD, the score of cognitive reappraisal was negatively correlated with the scores of symptoms and anxiety problems (=-0.254 and -0.270 respectively, <0.001), and the score of symptoms was positively correlated with the score of anxiety problems (=0.329, <0.001). The analysis of mediating effect showed that cognitive reappraisal played a partial mediating role between symptoms and anxiety problems, with a 95% confidence interval of 0.008-0.027, and the mediating effect accounted for 16.10% of the total effect. In addition, sex played a regulatory role in this mediation model (<0.001).

CONCLUSIONS

Cognitive reappraisal plays a mediating role between symptoms and anxiety problems in children with ADHD, while sex regulates the relationship of symptoms with cognitive reappraisal and anxiety problems in these children.

摘要

目的

探讨注意缺陷多动障碍（ADHD）患儿症状与焦虑问题之间情绪调节策略的中介作用。

方法

采用便利整群抽样法，从新疆维吾尔自治区喀什地区10所小学的10211名学生中选取435名符合条件的ADHD患儿。使用SNAP-IV评估量表、儿童青少年情绪调节问卷和康纳斯父母症状问卷获取相关信息。采用Spearman相关分析和调节中介方法进行数据分析。

结果

对于ADHD患儿，认知重评得分与症状得分和焦虑问题得分均呈负相关（分别为=-0.254和-0.270，<0.001），症状得分与焦虑问题得分呈正相关（=0.329，<0.001）。中介效应分析表明，认知重评在症状与焦虑问题之间起部分中介作用，95%置信区间为0.008-0.027，中介效应占总效应的16.10%。此外，性别在该中介模型中起调节作用（<0.001）。

结论

认知重评在ADHD患儿症状与焦虑问题之间起中介作用，而性别调节这些患儿症状与认知重评及焦虑问题之间的关系。