The prevalence of emotional problems is high in children with attention deficit hyperactivity disorder(ADHD),including slight common emotional problems to serious mood disorders. It brings difficult to the management of ADHD children. It is necessary to integrate the management of emotional problem into the intervention plan of ADHD. The management plan should be classified,trans-discipline,step by step and comprehensive. According to the quality and level of emotional problems,the clinical professionals of different levels and domains implement the management program appropriate for his or her ability,take the evidence based intervention and treatment methods. The most serious disorder should take the priority to be treated,or treated at the same time. This article emphasises the assessments including the warning signs,screening scales,structure or semi-structure interview,diagnostic thinking,related psychotherapy and medication therapy.
Key words
attention deficit hyperactivity disorder /
emotional problem /
emotional dysregulation /
mood disorders
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References
[1] Shaw P,Stringaris A,Nigg J,et al.Emotional dysregulation and attention-deficit/hyperactivity disorder[J].Am J Psychiatry,2014,171:276-293.
[2] Leibenluft E.Pediatric irritability:a systems neuroscience approach[J].Trends Cogn Sci,2017,21(4):277-289.
[3] 张劲松,王朋朋,韩晶晶,等.儿童对立违抗性障碍、品行障碍和注意缺陷多动障碍中精神病态特质的分析[J].教育生物学杂志,2014,2(1):16-20.
[4] Hartman CA,Rommelse N,van der Klugt CL,et al.Stress exposure and the course of ADHD from childhood to young adulthood:comorbid severe emotion dysregulation or mood and anxiety problems[J].J Clin Med,2019,8:824-1838.
[5] Biederman J,Spencer TJ,Petty C,et al.Longitudinal course of deficient emotional self-regulation CBCL profile in youth with ADHD:prospective controlled study[J].Neuro psychiatr Dis Treat,2012,8:267-276.
[6] Weiping XIA,Lixiao SHEN,Jinsong ZHANG.Comorbid anx iety and depression in school-aged children with attention deficit hyperactivity disorder (ADHD).and self-reported symptoms of ADHD,anxiety,and depression among parents of school-aged children with and without ADHD[J].Shanghai Archives of Psychiatry,2015,27(6):356-367.
[7] Maire J,Galera C,Bioulac S,et al.Emotional lability and irritability have specific associations with symptomatology in children with attention deficit hyperactivity disorder[J].Psychiatry Res,2020,285:112789.
[8] Kutlu A,Ardic UA,Ercan ES.Effect of methylphenidate on emotional dysregulation in children with attention-deficit/hyperactivity disorder + oppositional defiant disorder/conduct disorder[J].J Clin Psychopharmacol,2017,37:220-225.
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