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美国学习障碍和注意力缺陷多动障碍成年人对残疾的接受与肯定

Disability Acceptance and Affirmation Among U.S. Adults With Learning Disabilities and ADHD.

作者信息

Zapata Mercedes A, Worrell Frank C

机构信息

University of California, Berkeley, USA.

出版信息

J Learn Disabil. 2024 Mar-Apr;57(2):79-90. doi: 10.1177/00222194231186665. Epub 2023 Jul 25.

Abstract

Personal disability identity is a predictor of psychosocial functioning among adults with predominantly physical disabilities. In the present study, we examined personal disability identity in adults with learning disabilities (LD) and/or attention-deficit/hyperactivity disorder (ADHD). In samples of 541 adults with LD, 475 with ADHD, and 433 with comorbid LD and ADHD, we examined the structural validity of disability acceptance and disability affirmation scores and the association between these scores and anxiety/depression, life satisfaction, and general self-efficacy. Factor analyses supported a 4-item disability acceptance and 3-item disability affirmation scale in LD-only and ADHD-only samples. Among adults with LD or ADHD, disability affirmation was a meaningful predictor of life satisfaction, and disability acceptance predicted general self-efficacy. Disability identity attitudes are worthy of clinical and scholarly attention in adults with LD and ADHD, and adults with comorbid LD and ADHD may warrant special consideration in the personal disability identity literature.

摘要

个人残疾认同是主要患有身体残疾的成年人心理社会功能的一个预测指标。在本研究中,我们调查了患有学习障碍(LD)和/或注意力缺陷多动障碍(ADHD)的成年人的个人残疾认同。在541名患有LD的成年人、475名患有ADHD的成年人以及433名患有LD和ADHD共病的成年人样本中,我们检验了残疾接纳和残疾肯定得分的结构效度,以及这些得分与焦虑/抑郁、生活满意度和一般自我效能感之间的关联。因子分析支持了仅患有LD和仅患有ADHD样本中的一个4项残疾接纳量表和一个3项残疾肯定量表。在患有LD或ADHD的成年人中,残疾肯定是生活满意度的一个有意义的预测指标,而残疾接纳则预测一般自我效能感。残疾认同态度在患有LD和ADHD的成年人中值得临床和学术关注,并且患有LD和ADHD共病的成年人在个人残疾认同文献中可能需要特别考虑。

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