注意缺陷多动障碍与对立违抗障碍男童的情绪调节过程缺陷

doi:10.11852/zgetbjzz2017-25-05-03

中国儿童保健杂志 ›› 2017, Vol. 25 ›› Issue (5): 440-443.DOI: 10.11852/zgetbjzz2017-25-05-03

注意缺陷多动障碍与对立违抗障碍男童的情绪调节过程缺陷

江文庆¹, 李焱¹, 杜亚松¹, 李彩霞², 李梦瑶¹

1 上海交通大学医学院附属精神卫生中心,上海 200030;
2 上海市复旦中学,上海 200050

收稿日期:2016-11-04 发布日期:2017-05-10 出版日期:2017-05-10
通讯作者: 杜亚松,E-mail:yasongdu@163.com
作者简介:江文庆(1981-),女,浙江人,主治医师,博士研究生,主要研究方向为注意缺陷多动障碍。
基金资助:
上海市科委引导类课题(15411967500); 上海市精神卫生中心特色专科建设(2013-YJTSZK-04)

Defect of emotional regulation process in boys with attention deficit and hyperactivity disorder and oppositional defiant disorder

JIANG Wen-qing¹, LI Yan¹, DU Ya-song¹, LI Cai-xia², LI Meng-yao¹

1 Shanghai Mental Health Center,Shanghai Jiaotong University School of Medicine,Shanghai 200030,China;
2 Shanghai Fu Dan High School,Shanghai 200050,China

Received:2016-11-04 Online:2017-05-10 Published:2017-05-10
Contact: DU Ya-song,E-mail:yasongdu@163.com

摘要/Abstract

摘要： 目的探索注意缺陷多动障碍(ADHD)和对立违抗障碍(ODD)男童的情绪调节过程特征,比较两者情绪调节过程的异同。方法采用病例对照的研究方法,选取ADHD和ODD男童为研究组,对其情绪调节能力、行为表现、智能情况进行评估,并且与健康发育男童做比较。结果以总智商为协变量,研究组在负性情绪认知重评,负性情绪表情抑制,负性情绪表情宣泄,正性情绪认知重评上的得分与对照组比较,差异有统计学意义(F=4.108、7.747、12.157、4.475,P<0.05或<0.01);单纯ODD组、ODD/ADHD组和单纯ADHD组的情绪调节能力未见显著差异。结论 ADHD和ODD男童存在对负性情绪的调节缺陷。

关键词: 情绪调节, 行为问题, 注意缺陷多动障碍, 对立违抗障碍

Abstract: Objective To investigate the emotional regulation process in boys with attention deficit and hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD),and compare the emotional regulation process between boys with ADHD and ODD. Method Case control design was used,boys with ADHD and ODD were selected as study group while typical development boys were selected as control group.Emotional regulation process,the behavioral performance,and intelligence were evaluated and compared between the study group and the control group. Results When IQ was controlled as covariance,compared to control group,the study group showed significant differences(F=4.108,7.747,12.157,4.475,P<0.05 or <0.01) in negative emotion cognitive reappraisal,negative emotion expressive suppression,negative emotion expressive revealing,positive emotion cognitive reappraisal.There showed no significant difference between pure ODD group,ODD/ADHD group and pure ADHD group in emotional regulation process. Conclusion Boys with ADHD and ODD have difficulty in negative emotion regulation.

Key words: emotional regulation, behavior problem, attention deficit and hyperactivity disorder, oppositional defiant disorder

中图分类号:

R179

江文庆, 李焱, 杜亚松, 李彩霞, 李梦瑶. 注意缺陷多动障碍与对立违抗障碍男童的情绪调节过程缺陷[J]. 中国儿童保健杂志, 2017, 25(5): 440-443.

JIANG Wen-qing, LI Yan, DU Ya-song, LI Cai-xia, LI Meng-yao. Defect of emotional regulation process in boys with attention deficit and hyperactivity disorder and oppositional defiant disorder[J]. journal1, 2017, 25(5): 440-443.

参考文献

[1] American Psychiatric Association.Diagnostic and statistical manual of mental disorder[M].Washington DC:American Psychiatric Association,2013.
[2] Merikangas KR,Nakamura EF,Kessler RC.Epidemiology of mental disorders in children and adolescents[J].Dialogues Clin Neurosci,2009,11(1):7-20.
[3] McLaughlin KA,Hatzenbuehler ML,Mennin DS,et al.Emotion dysregulation and adolescent psychopathology:A prospective study[J].Behav Res Ther,2011,49(9):544-554.
[4] Gross JJ.The emerging field of emotion regulation:an integrative review[J].Review of General Psychology,1998,2:271-299.
[5] Gross JJ,Muñoz RF.Emotion regulation and mental health[J].Clinical Psychology:Science and Practice,1995,2(2),151-164.
[6] Skirrow C,Ebner-Priemer U,Reinhard I,et al.Everyday emotional experience of adults with attention deficit hyperactivity disorder:evidence for reactive and endogenous emotional lability[J].Psychol Med,2014,44(16):3571-3583.
[7] Ambrosini PJ,Bennett DS,Elia J.Attention deficit hyperactivity disorder characteristics:II.Clinical correlates of irritable mood[J].J of Affective Disorder,2013,145:70-76.
[8] Cavanagh M,Quinn D,Duncan D,et al.Oppositional defiant disorder is better conceptualized as a disorder of emotional regulation[J].J Atten Disord,2014.doi:10.1177/1087054713520221.
[9] 范娟,杜亚松,王立伟.Conners父母用症状问卷的中国城市常模和信度研究[J].上海精神医学,2005,17(6):321-323.
[10] 邓欣媚,桑标.青少年日常情绪调节问卷的编制[J].心理与行为研究,2011,9(3):168-175.
[11] 张厚粲.韦氏儿童智力量表第四版(WISC-Ⅳ)中文版的修订[J].心理科学,2009,29(5):1177-1179.
[12] 周晋波,郭兰婷,陈颖,等.中文版注意缺陷多动障碍SNAP-Ⅳ评定量表-父母版的信效度[J].中国心理卫生杂志,2013,27(6):424-428.
[13] Roy AK,Klein RG,Angelosante A,et al.Clinical features of young children referred for impairing temper outbursts[J].J Child & Adolescent Psychopharmacology,2013,23(9):588-596.
[14] Sobanski E,Banaschewski T,Asherson P,et al.Emotional lability in children and adolescents with attentiondeficit/hyperactivity disorder (ADHD):clinical correlates and familialprevalence[J].J Child Psychol Psychiatry,2010,51(8):915-923.
[15] Stringaris A,Goodman R.Three dimensions of oppositionality in youth[J].J Child Psychol Psychiatry,2009,50(3):216-223.
[16] Rowe R,Costello EJ,Angold A,et al.Developmental pathways in oppositional defiant disorder and conduct disorder[J].Journal of Abnormal Psychology,2010,119(4):726-738.
[17] Cutuli D.Cognitive reappraisal and expressive suppression strategies role in theemotion regulation:an overview on their modulatory effects and neuralcorrelates[J].Front Syst Neurosci,2014,19(8):175-175.
[18] 黄广文,苏林雁,马敏,等.伴对立违抗障碍的注意缺陷多动障碍儿童焦虑抑郁情绪分析[J].中国儿童保健杂志,2013,21(1):65-67.
[19] Bunford N,Evans SW,Langberg JM.Emotion dysregulation is associated with social impairment among young adolescents with ADHD[J].J Atten Disord,2014.doi:10.1177/1087054714527793.
[20] Schoemaker K,Bunte T,Espy KA,et al.Executive functions in preschool children with ADHD and DBD:an 18-month longitudinal study[J].Dev Neuropsychol,2014,39(4):302-315.
[21] 李彩霞,江文庆,李焱,等.注意缺陷多动障碍儿童情绪调节能力与智商、行为特征关系的研究[J].中国儿童保健杂志,2015,23(5):478-481.
[22] Jiang WQ,Li Y,Du YS,et al.Emotional regulation and executive function deficits in unmedicated chinese children with oppositional defiant disorder[J].Psychiatry Investigation,2016,13(3):277-287.
[23] Anastopoulos AD,Smith TF,Garrett ME,et al.Self-Regulation of emotion,functional impairment,and comorbidity among children with ADHD[J].J Atten Disord,2011,15:583-592.

注意缺陷多动障碍与对立违抗障碍男童的情绪调节过程缺陷

Defect of emotional regulation process in boys with attention deficit and hyperactivity disorder and oppositional defiant disorder

PDF

可视化

被引次数

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	毛广惠, 王丹, 李丽丽, 季忆婷, 王琪玉, 冯晨霞, 赵晓燕, 何璐, 蔡世忠, 陈艳. 学龄期注意缺陷多动障碍儿童的人体成分分析[J]. 中国儿童保健杂志, 2024, 32(9): 1029-1033.
[2]	邓梁琼, 梁媛媛, 岑诗, 胡敏, 李红辉, 曾烜, 廖林燕. 新森林教养方案对注意缺陷多动障碍儿童干预疗效的研究[J]. 中国儿童保健杂志, 2024, 32(8): 856-861.
[3]	李文静, 马倩倩, 陈晨, 李骏, 毋丹丹, 曾令霞. 学龄儿童生活方式对情绪和行为问题的影响[J]. 中国儿童保健杂志, 2024, 32(7): 718-724.
[4]	章依文. 注意缺陷多动障碍共病智力障碍的诊治挑战[J]. 中国儿童保健杂志, 2024, 32(6): 581-585.
[5]	冯廷勇, 王雪珂. 注意缺陷多动障碍儿童多模态评估的现状与建议[J]. 中国儿童保健杂志, 2024, 32(6): 586-590.
[6]	刘子奇, 刘思奇, 陶梦娇, 任永颖, 李冠男, 孙静, 王昕, 张建昭, 杨健. 不同注意力、控制力水平注意缺陷多动障碍儿童认知功能特点[J]. 中国儿童保健杂志, 2024, 32(6): 591-596.
[7]	张琳琳, 吴赵敏, 王鹏, 操小兰, 刘娟, 王玉凤, 杨斌让. 高焦虑水平注意缺陷多动障碍儿童社会功能损害特征[J]. 中国儿童保健杂志, 2024, 32(6): 597-601.
[8]	郭春燕, 宋丽, 王亚哲, 于茹梦, 张定方, 殷梦华. 注意缺陷多动障碍共患学习障碍儿童的执行功能研究[J]. 中国儿童保健杂志, 2024, 32(6): 602-607.
[9]	卢鋆锋, 李甦. 注意缺陷多动障碍儿童语用性语言障碍研究进展[J]. 中国儿童保健杂志, 2024, 32(6): 643-647.
[10]	胡旖婷, 江克文. 注意缺陷多动障碍儿童执行功能性别差异及机制研究进展[J]. 中国儿童保健杂志, 2024, 32(6): 648-652.
[11]	吴泳华, 于敬龙, 周康宁, 王俊宏. 基于CiteSpace的近十年国内外注意缺陷多动障碍认知功能的可视化分析[J]. 中国儿童保健杂志, 2024, 32(6): 661-667.
[12]	黄蕾, 南楠, 苏悦, 王鹏丽, 伍晓艳, 郭金仙. 兰州市学龄前儿童视屏时间与心理行为的关联[J]. 中国儿童保健杂志, 2024, 32(3): 242-247.
[13]	金春燕, 朱珠. 学龄前儿童生活方式与心理健康的关联[J]. 中国儿童保健杂志, 2024, 32(3): 255-260.
[14]	赵科, 尹绍清, 刘虹. 受欺负、欺负容忍及认知情绪调节策略对儿童青少年焦虑抑郁的影响[J]. 中国儿童保健杂志, 2024, 32(3): 268-272.
[15]	任苗苗, 陈立. 药物遗传学对注意缺陷多动障碍儿童盐酸哌甲酯治疗的影响[J]. 中国儿童保健杂志, 2024, 32(3): 296-300.