使用热和冷的测量方法来表型和预测功能性结果跨多动症和青少年典型发育的维度
Heather Elahi1,2, Ana-Maria Iosif3, Prerona Mukherjee1,2
1Department of Psychiatry and Behavioral Sciences, University of California, Davis, Sacramento, CA, 95817, USA.
Research on child and adolescent psychopathology
|December 1, 2023
概括
注意缺陷多动症 (ADHD) 可能源于明显的认知和情绪路径功能障碍. 识别特定的子组,如那些具有高度复杂的挑战的人,可以为更好的青少年结果提供量身定制的干预措施.
科学领域:
- 神经科学是一个神经科学.
- 发展心理学 发展心理学
- 精神病学是一个精神病学.
背景情况:
- 注意缺陷多动症 (ADHD) 经常通过"凉爽" (认知) 和"热" (情绪/奖励) 途径模型进行概念化.
- 这些途径和发育成熟之间的相互作用会影响青少年的功能结果.
研究的目的:
- 根据热冷路径模型,根据ADHD和没有ADHD的青少年识别不同的子组.
- 在已识别的子组中检查情绪性,冲动性和处理速度的差异.
- 调查与每个子组相关的功能行为.
主要方法:
- 隐性个人资料分析应用于152名青少年 (ADHD和典型发育) 的评级表和行为任务数据.
- 测量包括情绪,易怒,冲动,冒险,未来方向和处理速度 (PS).
主要成果:
- 确定了四个不同的类别:高度复杂的挑战,中等混合的挑战,非情绪冲动性和高调节和控制.
- ADHD路径模型的支持是情绪不稳定性,易怒性,冲动性类型和未来后果调制的差异.
- 高复杂类表现出最严重的学术功能挑战;中等混合类也具有中等情绪的重大挑战.
- 非情绪冲动类的冲动性高,但情绪/刺激性低,ADHD/TD组合混合,负面后果较少.
结论:
- ADHD症状可能包括分类和维度方面,由不同的子组配置文件证明.
- 小组差异突出了ADHD表现中的异质性.
- 针对特定小组挑战量身定制的精确健康干预措施可能比一个适合所有人的方法更有效.
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