在ADHD中依恋和并发性焦虑
Hazal Akman1, Nihal Serdengeçti1, Mesut Yavuz1
1Department of Child and Adolescent Psychiatry, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.
Clinical child psychology and psychiatry
|September 25, 2023
概括
患有注意力缺陷多动障碍 (ADHD) 的孩子经常经历焦虑. 较低的母性依恋安全性和较高的过度活跃/冲动性症状与这些儿童的焦虑增加有关.
科学领域:
- 儿童心理学 儿童心理学
- 神经发育障碍 神经发育障碍
- 临床精神病学 临床精神病学
背景情况:
- 焦虑并发症在患有注意力缺陷多动障碍 (ADHD) 的儿童中很常见.
- 对于ADHD儿童焦虑,依恋和情绪调节的相互作用,人们的理解有限.
- 这项研究解决了对这些协会的清晰度的需求.
研究的目的:
- 在被诊断为ADHD的儿童中调查依恋,情绪调节和并发性焦虑之间的关联.
- 为了比较ADHD儿童 (有或没有焦虑) 和神经类型对照之间的这些因素.
主要方法:
- 一组100名患有ADHD的儿童和100名对照 (8-13岁) 被临床评估.
- 参与者完成了图尔盖ADHD尺度,情绪调节检查清单,RCADS-儿童版本 (RCADS-CV) 和克恩斯安全量表.
- 根据RCADS-CV得分分类各组:多动症/焦虑症+),多动症/焦虑症-),对照组.
主要成果:
- 与对照人群相比,患有ADHD的儿童表现出更高的情绪可变性/消极性.
- 患有多动症/焦虑症 (ADHD/Anxiety) 组显示,与对照组相比,父亲和母亲的依恋安全性较低.
- 回归分析揭示了多动/冲动症状,较低的母亲依恋质量预测了ADHD儿童更高的焦虑.
结论:
- 附着质量和情绪调节困难与ADHD儿童的并发性焦虑有显著的相关性.
- 解决依恋和情绪调节可能对管理ADHD核心症状和焦虑至关重要.
- 干预措施应考虑这些因素,以提供全面的ADHD护理.
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