注意缺陷/多动障碍在精神病理学层次结构中的位置是什么? 一个以症状为中心的分析分析
Zheyue Peng1, Kasey Stanton2, Beatriz Dominguez-Alvarez3
1Department of Psychological Sciences, Vanderbilt University.
注意缺陷/多动症 (ADHD) 症状映射到外部化,神经发育和内部化谱. 研究结果表明,ADHD不是一个单一的构造,主张在分类中以症状为中心的方法.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 神经科学是一个神经科学.
背景情况:
- 目前的精神病理学分类系统不一致地分类注意力缺陷/多动障碍 (ADHD).
- ADHD 往往被置于外部化或神经发育类别中,导致模两可.
- 在诊断框架内ADHD的最佳位置仍然是争论的主题.
研究的目的:
- 将ADHD症状映射到三个跨诊断性精神病理学光谱上:外部化,神经发育和内部化.
- 调查特定的ADHD症状与这些更广泛的谱之间的细微关联.
- 为了告知ADHD的分类和概念化.
主要方法:
- 将ADHD的症状映射到外部化,神经发育和内部化谱中.
- 在这些跨诊断类别中分析症状关联.
- 利用来自精神病理学研究的数据.
主要成果:
- 在外化,神经发育和内化谱中,ADHD症状表现出各种各样的关联.
- 冲动性,不良的学业和低的坚持力与外部化谱系密切相关.
- 认知失调症状 (例如,注意力不集中,白天梦想) 和不成熟与神经发育频谱有关.
- 认知失调症状也显示出与内化谱系的联系.
结论:
- 不应将ADHD概念化或将其视为一个单一的构造.
- 仅将ADHD置于外部化或神经发育谱中是不理想的.
- 建议以症状为重点的方法来更好地告知心理病理学分类系统.
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