ADHDの症状を持つ個人の比較時間ネットワーク分析:経験サンプリング法 (ESM) を使用して精神病のような経験と関連する要因の関係に関する調査
Hanna Gelner1, Paulina Bagrowska2, Błażej Misiak3
1Experimental Psychopathology Lab, Institute of Psychology, Polish Academy of Sciences, Stefana Jaracza 1, 00-378, Warsaw, Poland. hgelner@sd.psych.pan.pl.
European archives of psychiatry and clinical neuroscience
|February 12, 2026
まとめ
注意欠陥/多動性障害 (ADHD) の症状は,精神病のような経験 (PLE) に影響を及ぼします. 高度なADHD症状の重症度は,特定のコルチゾールと妄想のような経験 (DLE) のダイナミクスと相関しているが,低度なADHDの重症度は異なるパターンを示している.
科学分野:
- 神経科学は神経科学である.
- 精神科医は精神病を患っている.
- 心理学 心理学とは
背景:
- 幻覚のような経験 (HLEs) と妄想のような経験 (DLEs) を含む精神病のような経験 (PLEs) は,精神病連続体のサブクリニック現象です.
- PLEsの病因は,神経発達の変化,適応不良の対処,否定的な感情,およびストレスを含むが,しばしば注意欠陥/多動性障害 (ADHD) の症状と併発する.
研究 の 目的:
- PLEの時間的動態,ADHDの症状,コルチゾールレベル,ネガティブな影響 (NA),反省,脅威予測 (TA) を調査する.
- 一般人口のサンプルで,ADHDの症状の重度が高く,低い個体間のこれらのダイナミクスを比較するために.
主な方法:
- 188人の参加者は,Adult ADHD Self-Report Scale (ASRS) と7日間のエコロジカル・モメンタリー・アセスメント (EMA) を完了しました.
- 参加者は高ADHD (H_ADHD) と低ADHD (L_ADHD) のグループに分けられました.
- 唾液コルチゾール,一時ネットワーク分析,並列テストは,関連性およびグループ差異を分析するために使用されました.
主要な成果:
- H_ADHDグループでは,コルチゾールは脅威予期 (TA) を予測し,DLEsはTAと強く関連していました. コルチゾールの上昇は,TAと関連していた.
- L_ADHDグループでは,HLEは反やTAとより関係していた. ネガティブな影響 (NA) は,両方のグループで強烈に予想された反を予測しました.
- DLEは,H_ADHDグループで最も強い予測機能を持ち,NAはL_ADHDグループで最も強い予測機能を持っていた. コルチゾールは,H_ADHDにおけるTAと,L_ADHDにおけるアルコールの消費と関連していた.
結論:
- 高対低ADHD症候群の個体において,心理的要因と生物学的マーカーの間の時間的ダイナミクスにおいて,著しい差異が存在する.
- ADHDの患者を対象とした介入は,NAをターゲットにして,適応的感情とストレス調節戦略に焦点を当てるべきである.
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