儿童多动症 (ADHD) 有或没有同时出现的内化/外化问题:青少年学术和社会功能变化的前景预测
Amber L Reinke1, Kelsey Stiles1, Steve S Lee1
1University of California, Los Angeles, USA.
Journal of attention disorders
|July 27, 2023
概括
儿童多动症,抑郁症和侵略性会影响青少年的社交技能,但不会影响学业成绩. 对这些情况的早期干预对于改善同伴关系和学校成功至关重要.
科学领域:
- 发展心理学 发展心理学
- 儿童精神病学 儿童精神病学
- 教育心理学教育心理学
背景情况:
- 内部化和外部化问题与较差的学术和社会成果有关.
- 注意缺陷/多动障碍 (ADHD) 由于其高度的并发症和风险因素地位,使这些关联变得复杂.
研究的目的:
- 检查儿童焦虑,抑郁和攻击性作为青少年学业和社会成果变化的预测因素.
- 研究儿童ADHD在这些发育轨迹中的缓解作用.
主要方法:
- 一项前性纵向研究跟踪了182名种族多元的年轻人 (5-11岁) 6-7年.
- 数据收集包括了青年精神病理,学术表现 (成绩,学校能力) 和友质量的测量.
- 参与者在基线和随访时被评估,有或没有被诊断为ADHD.
主要成果:
- 童年ADHD负面预测了学术能力.
- 童年抑郁症和侵略性独特地预测了友质量的下降.
- 童年焦虑并没有预测学业或友成果的变化.
- 没有包括ADHD在内的儿童精神病理学测量方法预测了客观测量的学业成绩的变化.
结论:
- 儿童抑郁症和侵略性是恶化同伴关系的重要危险因素.
- 虽然ADHD影响学校能力,但它对学业成绩变化的直接影响在本研究中并不明显.
- 研究结果支持发育性精神病理学框架,并突出了针对学校为内部化和外部化问题的有针对性的干预措施的需要.
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