烦躁儿童的挫折反应和调节:慢性烦躁,内化和外化症状的贡献
Olivia J Derella1,2, Emilie J Butler2, Karen E Seymour3
1Department of Psychiatry and Behavioral Sciences, Montefiore Medical Center/Albert Einstein College of Medicine.
概括
儿童慢性易怒 (CI) 与挫折恢复和抑制控制的困难有关,特别是当与内化症状或ADHD同时发生时. 解决自我调节障碍是治疗的关键.
科学领域:
- 儿童心理学 儿童心理学
- 发展性精神病理学
- 神经科学是一个神经科学.
背景情况:
- 儿童慢性易怒 (CI) 与显著的发育障碍和并发症有关.
- 挫折反应是一种已知的机制,但以调节为导向的挫折恢复和认知控制仍未得到充分研究.
- 了解这些因素对于区分CI与并发性疾病至关重要.
研究的目的:
- 研究患有CI的儿童的挫折恢复,耐受性和认知控制.
- 检查伴随性症状,包括ADHD和内化障碍在这些过程中的作用.
- 确定与CI相关的特定自我监管缺陷.
主要方法:
- 63名儿童 (25名有CI,38名没有) 和他们的父母完成了调查.
- 参与者进行了计算机化任务:丧去/不去 (FGNG) 和镜子追踪持久任务 (MTPT).
- 分析比较了跨组的任务性能和影响,包括针对ADHD进行查的子组.
主要成果:
- 患有CI的儿童在FGNG恢复期间表现出持续的丧和抑制控制困难,不一定是在最初的丧期间.
- 内化症状预测了各种任务中的丧,不容忍和反应性.
- ADHD的严重程度与更高的丧反应度相关,而反对行为预测了更低的丧. 挫折恢复与较低的易怒性,但更高的内化症状有关.
结论:
- 同时出现的症状,特别是内化症状,可能会解释CI中的一些与丧有关的困难.
- 在挫折后的困难影响和抑制性控制恢复强调了自我调节障碍在CI特征中的重要性.
- 这些发现表明,针对自我调节缺陷可能对管理儿童慢性易怒至关重要.
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