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从童年到青少年期的注意力缺陷多动障碍症状与受欺凌情况——一种个体内交叉滞后研究方法

Attention-deficit hyperactivity disorder symptoms and bullying victimization from childhood to adolescence - A within-person cross-lagged approach.

作者信息

Stenseng Frode, Skalická Věra, Skaug Silje Stokke, Belsky Jay, Wichstrøm Lars

机构信息

Norwegian University of Science and Technology, Trondheim, Norway.

University of California, Davis, CA, USA.

出版信息

Dev Psychopathol. 2024 Oct 4:1-11. doi: 10.1017/S0954579424001251.

Abstract

Attention-deficit hyperactivity disorder (ADHD) and subclinical symptoms of hyperactivity-impulsivity and inattentiveness coincide with an increased risk of peer victimization. What remains unclear are the developmental dynamics of these associations. In a sample drawn from two Norwegian birth cohorts ( = 872; 49.94 % girls), assessed biennially from age 6 to age 14, reciprocal relations between ADHD symptoms and victimization were examined while controlling for symptoms of anxiety and depression. ADHD symptoms were assessed through clinical interviews with parents, whereas victimization was reported by teachers using questionnaires. Random-intercept cross-lagged panel modeling revealed a consistent reciprocal within-person effect of increased ADHD symptoms on victimization, and vice versa. Analyses of subdimensions of ADHD projected a consistent cross-lagged bidirectional relationship between victimization and inattentiveness symptoms only, whereas no such reciprocity was found for hyperactivity-impulsivity symptoms. Results did not differ by gender. Findings suggest that the social context may constitute a vulnerability factor in the etiology of the inattentive subtype of ADHD, and at the same time, that inattentiveness symptoms pose a risk for becoming victimized.

摘要

注意力缺陷多动障碍(ADHD)以及多动冲动和注意力不集中的亚临床症状与遭受同伴欺凌的风险增加同时出现。这些关联的发展动态尚不清楚。在一个从两个挪威出生队列中抽取的样本(n = 872;49.94%为女孩)中,从6岁到14岁每两年进行一次评估,在控制焦虑和抑郁症状的同时,研究了ADHD症状与欺凌之间的相互关系。ADHD症状通过对家长的临床访谈进行评估,而欺凌情况则由教师通过问卷调查报告。随机截距交叉滞后面板模型揭示了ADHD症状增加对欺凌有一致的个体内相互作用效应,反之亦然。对ADHD子维度的分析仅显示了欺凌与注意力不集中症状之间一致的交叉滞后双向关系,而多动冲动症状则未发现这种相互作用。结果在性别上没有差异。研究结果表明,社会环境可能是ADHD注意力不集中亚型病因中的一个脆弱因素,同时,注意力不集中症状会增加遭受欺凌的风险。

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