创伤经历,循环节偏好和在机构护理中居住的多动症青少年的多动症症状之间的关系:一项受控研究
Ahmet Güleç1, Hasan Ali Güler1, Serhat Türkoğlu1
1Department of Child and Adolescent Psychiatry, Faculty of Medicine, Selçuk University, Konya, Türkiye.
Chronobiology international
|February 20, 2024
概括
患有注意力缺陷多动性障碍 (ADHD) 的青少年的晚间时间型与创伤症状,ADHD恶化和破坏性行为有关. 评估时间型可以指导对这些症状的干预.
科学领域:
- 神经科学是一个神经科学.
- 精神病学是一个精神病学.
- 时间生物学 时间生物学
背景情况:
- 循环节偏好,或时间型,影响日常活动规划.
- 晚间时间型与注意力缺陷多动症 (ADHD) 和创伤后应激障碍 (PTSD) 有关.
- 在机构护理中的青少年可能会经历更严重的创伤和行为挑战.
研究的目的:
- 研究青少年时代型,创伤和ADHD/PTSD症状之间的关系.
- 为了比较机构和非机构青少年的ADHD症状严重程度.
- 探索晚间时刻型在创伤症状关系中的调解作用.
主要方法:
- 研究包括三个组:住院的多动症青少年 (n=34),非住院的多动症青少年 (n=29) 和健康的对照组 (n=32),年龄在14-18岁.
- 使用的社会人口统计形式,图尔盖DSM-IV破坏性行为障碍评分表 (T-DSM-IV-S),童年时刻型问卷 (CCQ) 和童年创伤问卷 (CTQ).
- 进行中介分析以评估晚间时间型的作用.
主要成果:
- 住院的多动症青少年表现出更严重的多动症和破坏性行为症状.
- 更高的创伤分数与ADHD增加和破坏性行为严重程度和晚间时间型相关.
- 晚上的时刻型完全介绍了创伤和ADHD症状之间的联系,部分介绍了创伤和PTSD症状之间的联系.
结论:
- 创伤经历可能会使机构青少年的ADHD和破坏性行为恶化.
- 晚间的年代型与ADHD和破坏性行为有关,需要进行年代型评估.
- 时间治疗干预可能有助于缓解这个人群的注意力不集中,过度活跃和行为问题.
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