在有或没有多动症和破坏性行为障碍的儿童中对情绪失调的多式评估
Melissa L Hernandez1, Alexis M Garcia1, Jamie A Spiegel1
1Department of Psychology, Florida International University.
概括
情绪失调措施,包括情绪调节,反应性和冷酷无情的行为,有助于识别患有多动症和破坏性行为障碍的儿童,但不仅仅是多动症. 这些发现有助于诊断复杂的儿童行为状况.
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
- 情绪调节研究研究 情绪调节研究
背景情况:
- 情绪失调在儿童行为障碍中很常见.
- 特定的领域,如情绪调节,反应性和冷酷无情的行为需要在诊断上下文进一步调查.
研究的目的:
- 确定情绪失调的特定领域是否与儿童的诊断分类有独特的关联.
- 根据情绪失调概况,区分只有ADHD,ADHD+破坏性行为障碍 (DBD) 和典型发育 (TD) 的儿童.
主要方法:
- 采用使用家长/老师报告和行为观察的多式联络方法.
- 这项研究包括被诊断为只有ADHD (n=46),ADHD+DBD (n=129) 和TD (n=148) 的幼儿.
- 评估的情绪失调领域包括情绪调节 (EREG),情绪反应/能力 (EREL),情绪识别/理解 (ERU) 和冷酷无情 (CU) 行为.
主要成果:
- 在所有三个诊断组中都发现了EREG,EREL和CU的显著差异.
- 与只有ADHD和TD组相比,ADHD+DBD组的EREG,EREL和CU分数较差,CU分数较高.
- 父母/教师报告的EREG,EREL和CU是诊断状态的重要预测指标,超过了对分类的观察测量.
结论:
- 对情绪失调的测量对于识别患有ADHD+DBD的儿童很有价值.
- 这些措施在区分只有ADHD的儿童与其他群体方面效果不佳.
- 这些发现强调了在差异诊断中特定情绪失调领域的有用性.
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