Koyuncu Zehra, Aslantürk Halil Kübra, Selçukoğlu Kilimci Özge, Arslan Büşra, Tanrıöver Aydın Ezgi, Yücel Emine, Arvas Yekta Uğur, Aksu Nazan Ebru, Aksoy Poyraz Cana, Demirel Ömer Faruk, Küçük Leyla, Doğangün Burak, Weiss Margaret Danielle, Tarakçıoğlu Mahmut Cem
Department of Child and Adolescent Psychiatry, Cerrahpasa Faculty of Medicine, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey.
PLoS One. 2025 Apr 16;20(4):e0321767. doi: 10.1371/journal.pone.0321767. eCollection 2025.
This study aimed to examine the link between childhood attention deficit and hyperactivity symptoms (CAS) and functional impairment in university students, while also investigating whether gender moderates this relationship. Six hundred and eighty university students participated in this cross-sectional study. The assessment was conducted using the Wender-Utah Rating Scale-25 (WURS), the Brief Symptom Inventory (BSI), and the Weiss Functional Impairment Rating Scale - Self Report (WFIRS-S). The relationship between CAS and general and domain-based functional impairment was evaluated using eight moderation models. Control variables, including age and concomitant psychiatric symptoms (five BSI scores), were added to the models. We observed positive associations between WURS and all WFIRS-S scores. In addition, WURS significantly interacted with gender in explaining WFIRS-S total (t = -2.26, p =.024). Gender also moderated the link between WURS and impairments in social (t = -2.00, p =.046) and risk domains (t = -2.86, p =.004). Accordingly, the associations between CAS and overall functional impairment, as well as impairments in social and risk domains, were stronger in men than in women. These findings highlight the significant role of CAS in functional impairments among university students, with gender emerging as a key moderating factor, particularly in social and risk-related domains.
本研究旨在探讨儿童期注意缺陷与多动症状（CAS）与大学生功能损害之间的联系，同时调查性别是否调节这种关系。680名大学生参与了这项横断面研究。使用温德-犹他评定量表-25（WURS）、简明症状量表（BSI）和韦斯功能损害评定量表-自我报告（WFIRS-S）进行评估。使用八个调节模型评估了CAS与总体及基于领域的功能损害之间的关系。将包括年龄和伴随的精神症状（五个BSI得分）在内的控制变量纳入模型。我们观察到WURS与所有WFIRS-S得分之间存在正相关。此外，在解释WFIRS-S总分时，WURS与性别存在显著交互作用（t = -2.26，p =.024）。性别也调节了WURS与社交（t = -2.00，p =.046）和风险领域损害（t = -2.86，p =.004）之间的联系。因此，CAS与总体功能损害以及社交和风险领域损害之间的关联在男性中比在女性中更强。这些发现凸显了CAS在大学生功能损害中的重要作用，性别成为一个关键的调节因素，尤其是在社交和与风险相关的领域。
