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国家创伤性事件对患有和未患有注意力缺陷多动障碍的年轻人注意力不集中及多动/冲动症状的影响。

Influence of National Traumatic Events on Inattention and Hyperactivity/Impulsivity Symptoms in Young Adults With and Without ADHD.

作者信息

Erdinast Tal, Katabi Gili, Weizman Abraham, Manor Iris, Shahar Nitzan

机构信息

School of Psychological Sciences, Tel Aviv University, Tel Aviv, Israel.

Geha Mental Health Center, Petah Tikva, Israel.

出版信息

J Atten Disord. 2025 Sep;29(11):1024-1035. doi: 10.1177/10870547251351442. Epub 2025 Jun 30.

Abstract

OBJECTIVE

Previous studies indicate that national traumatic events, particularly terror attacks, have a broad impact on the general population, including individuals not directly exposed. However, research on how such events affect inattention and hyperactivity/impulsivity symptoms in individuals with ADHD remains limited.

METHOD

This study examined the impact of the October 7 terror attack in Israel on ADHD-related symptoms. Young adults with and without ADHD (43 ADHD and 42 control) completed assessments of current and childhood ADHD symptoms, as well as anxiety, at two time-points: before and after the national traumatic event. Participants also reported their level of exposure to the October 7 attack and the subsequent war.

RESULTS

The control group showed a substantial increase in inattention and hyperactivity/impulsivity symptoms after the attack, whereas the ADHD group exhibited no such increase and instead showed a slight reduction in symptom severity. Changes in symptoms in both groups were not influenced by direct exposure to an immediate threat. The increase in symptom severity tended to decline over time and was positively correlated with heightened anxiety symptoms.

CONCLUSION

These results suggest that national traumatic events can temporarily increase inattention and hyperactivity/impulsivity symptoms among young adults without an ADHD diagnosis, even if they were not directly exposed to the events. This increase tends to return to baseline over time. Conversely, individuals diagnosed with ADHD did not experience a worsening of symptoms and instead showed a slight reduction in severity, particularly in inattention, following the traumatic event. Future research should further explore the functional capabilities of individuals with ADHD under acute stress to deepen the understanding of this relationship.

摘要

目的

先前的研究表明,全国性创伤事件,尤其是恐怖袭击,会对普通人群产生广泛影响,包括未直接暴露于事件的个体。然而,关于此类事件如何影响注意力缺陷多动障碍(ADHD)患者的注意力不集中和多动/冲动症状的研究仍然有限。

方法

本研究考察了以色列10月7日恐怖袭击对ADHD相关症状的影响。患有和未患有ADHD的年轻成年人(43名ADHD患者和42名对照组)在两个时间点完成了对当前和童年期ADHD症状以及焦虑的评估:全国性创伤事件之前和之后。参与者还报告了他们对10月7日袭击及随后战争的暴露程度。

结果

对照组在袭击后注意力不集中和多动/冲动症状大幅增加,而ADHD组没有出现此类增加,反而症状严重程度略有降低。两组症状的变化不受直接暴露于即时威胁的影响。症状严重程度的增加随时间趋于下降,且与焦虑症状加剧呈正相关。

结论

这些结果表明,全国性创伤事件可使未被诊断为ADHD的年轻成年人暂时出现注意力不集中和多动/冲动症状,即使他们未直接暴露于这些事件。这种增加往往会随着时间恢复到基线水平。相反,被诊断为ADHD的个体在创伤事件后症状并未恶化,反而严重程度略有降低,尤其是在注意力不集中方面。未来的研究应进一步探索ADHD患者在急性应激下的功能能力,以加深对这种关系的理解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c85a/12318154/9c9c58e59c42/10.1177_10870547251351442-fig1.jpg

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