目的 探讨注意缺陷多动障碍(attention deficit and hyperactivity disorder, ADHD)儿童情绪调节能力的特点及其与智商、行为特征的关系, 为临床诊治提供有效参考。方法 采用病例对照研究的方法 , 于门诊收集10~14岁ADHD儿童作为研究组, 随机选取与被试年龄、性别相匹配的健康发育儿童作为对照组, 用情绪调节能力问卷、WISC-Ⅳ、Conners父母症状问卷对两组儿童进行了情绪调节能力、智商以及临床特征等因素的评估。结果 ADHD组的情绪知觉能力(t=-4.340)、情绪调节策略(t=-5.041)、情绪调节自我效能感(t=-5.528)、情绪控制能力(t=-5.121)得分显著低于对照组(P均=0.000);情绪评价能力(r=0.413)、情绪调节自我效能感(r=0.409)、情绪反思能力(r=0.520)与总智商相关(P均<0.05), 情绪调节能力与行为特征未发现明显相关(P>0.05)。结论 ADHD儿童情绪调节能力受损, 可能与其智商水平相关。
Abstract
Objective To investigate the ability of emotional regulation and its relationship with intelligence, behavioral characteristics of children with attention deficit and hyperactivity disorder (ADHD). Method Using case-control study, the ability of emotional regulation and other clinical features were compared between the ADHD outpatient and typically developmentally children. Results The score of emotional perception ability (t=-4.340), emotion regulation strategies (t=-5.041), emotional self-efficacy (t=-5.528), emotional control ability (t=-5.121) of research group were significantly lower than those of the control group (all P=0.000).The emotional evaluation (r=0.413), emotional self-efficacy (r=0.409), emotional reflection ability (r=0.520) were significantly correlated with total intelligence quotient (P<0.05 or <0.01).There were not significant correlations between emotion regulation ability and the behavior characteristics (P>0.05). Conclusion The ability of emotion regulation in children with ADHD is impaired, it may be related to intelligence quotiont level.
关键词
注意缺陷多动障碍 /
情绪调节能力 /
智商 /
行为特征
Key words
attention deficit and hyperactivity disorder /
emotion regulation ability /
intelligence quotient /
behavioral characteristics
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基金
国家自然科学基金面上项目(81271510);2012上海市卫生局青年项目(20124y042);2011上海精神卫生中心院级课题 (2011-YJ-07);2013上海市精神卫生中心特色专科建设项目(2013-YJTSZK-04);2014年家庭文明建设重点立项课题
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