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情绪和情感作为完全失明儿童及青少年抑郁和注意力缺陷多动障碍的预测因素

Emotions and Feelings as Predictors of Depression and Attention Deficit Hyperactivity Disorders among Children and Adolescents with Complete Blindness.

作者信息

Nyirahabimana Marie Louise, Tuyishimire Benjamin, Niyonsenga Japhet, Ntete Jeanne Marie, Mukarusanga Ignatiana, Mutabaruka Jean

机构信息

Clinical Psychology, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

出版信息

Rwanda J Med Health Sci. 2022 Dec 20;5(3):340-349. doi: 10.4314/rjmhs.v5i3.9. eCollection 2022 Dec.

Abstract

INTRODUCTION

Although blindness is a detrimental physical condition affecting almost all aspects of the lives of children and adolescents with blindness, little is known about the negative emotions and feelings they express and how they are linked with psychological disorders. Thus, this study aimed at examining the links between negative basic emotions, feelings, depression, and attention deficit and hyperactivity disorders (ADHD).

METHODS

Sixty children and adolescents with blindness were selected from HVP Gatagara-Rwamagana. We computed the regression analysis to identify the associations between emotions and feelings and depression and ADHD symptoms.

RESULTS

Results indicated clinical levels of sadness in 29 of 60 (48.3%), low self-esteem in 27 of 60 (45%), anger in 26 of 60 (43.3%), guilt and shame in 25 of 60) 41.6%, depression in 26 of 60 (43.3%), inattention in 11 of 60 (18.3%) and hyperactivity in 3 of 60 (5%). This study revealed that self-esteem (β = -0.81, p < 0.001), anger (β = 0.76, p < 0.001), sadness (β = 0.75, p < 0.001), low happiness (β = -0.53, p < 0.001), guilt and shame (β = 0.70, p < 0.001) predicted depressive symptoms. Only sadness (β = 0.540, p = 0.04) and anger (β =- 0.556, p = 0.04) were significant predictors of attention deficit hyperactivity disorder (ADHD) in children with blindness.

CONCLUSION

Interventions designed to elevate self-esteem and happiness as well as decrease anger, sadness, shame and guilt are needed for decreasing the risk of depression and ADHD.

摘要

引言

尽管失明是一种有害的身体状况,几乎影响着失明儿童和青少年生活的方方面面,但对于他们所表达的负面情绪和感受以及这些情绪与心理障碍之间的联系却知之甚少。因此,本研究旨在探讨负面基本情绪、感受、抑郁与注意力缺陷多动障碍(ADHD)之间的联系。

方法

从HVP加塔加拉-鲁瓦马加纳选取了60名失明儿童和青少年。我们进行了回归分析,以确定情绪、感受与抑郁及ADHD症状之间的关联。

结果

结果显示,60名中有29名(48.3%)存在临床水平的悲伤,60名中有27名(45%)自尊较低,60名中有26名(43.3%)愤怒,60名中有25名(41.6%)有内疚和羞耻感,60名中有26名(43.3%)抑郁,60名中有11名(18.3%)注意力不集中,60名中有3名(5%)多动。本研究表明,自尊(β = -0.81,p < 0.001)、愤怒(β = 0.76,p < 0.001)、悲伤(β = 0.75,p < 0.001)、低幸福感(β = -0.53,p < 0.001)、内疚和羞耻感(β = 0.70,p < 0.001)可预测抑郁症状。在失明儿童中,只有悲伤(β = 0.540,p = 0.04)和愤怒(β = -0.556,p = 0.04)是注意力缺陷多动障碍(ADHD)的显著预测因素。

结论

需要设计一些干预措施来提高自尊和幸福感,同时减少愤怒、悲伤、羞耻和内疚感,以降低抑郁和ADHD的风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35e9/12240427/c3649824d1f8/RJMHS0503-0340Fig1.jpg

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