在ADHD中处理情绪的困难:贝叶斯的元分析研究
Ana-María Soler-Gutiérrez1,2, Alberto J Sánchez-Carmona3, Jacobo Albert4
1Faculty of Psychology, Universidad Nacional de Educación a Distancia (UNED), Despacho 2.36 bis, Calle Juan del Rosal, 10, 28040, Madrid, Spain.
European child & adolescent psychiatry
|January 24, 2025
概括
患有注意力缺陷/多动症障碍 (ADHD) 的人在所有情绪类别中都表现出显著的情绪处理缺陷. 这些发现强调了在ADHD临床实践中对情绪处理进行系统评估的必要性.
科学领域:
- 神经科学是一个神经科学.
- 心理学 心理学 心理学
- 精神病学是一个精神病学.
背景情况:
- 注意缺陷/多动性障碍 (ADHD) 是一种神经发育障碍,其特点是注意力不集中和/或多动性-冲动性.
- 在ADHD患者中,情绪处理困难经常被事报告,但经验证据仍然分散.
- 需要进行系统审查,以巩固现有研究,并量化ADHD情绪处理缺陷的程度.
研究的目的:
- 系统地审查和元分析与非精神病学对照组相比,在被诊断患有多动症的个体中对情绪处理的经验研究.
- 确定ADHD情绪处理缺陷是全球性的还是特定于某些情绪类别的.
- 确定潜在的调节因素,如年龄,性别,药物状况,刺激类型和结果测量,影响ADHD情绪处理.
主要方法:
- 进行了符合PRISMA的系统审查和贝叶斯元分析.
- 在主要数据库 (MEDLINE,PsycINFO,ERIC,Scopus,Web of Science) 进行搜索,直到2023年12月3日.
- 包括80项研究 (6191名参与者) 将ADHD患者 (DSM或ICD标准) 与对照人群进行比较,用AXIS评估研究质量.
主要成果:
- 与对照组相比,ADHD患者的整体情绪处理明显较差 (g = -0.65).
- 在所有特定的情绪类别中观察到缺陷,包括愤怒,厌恶,恐惧,悲伤,惊喜,幸福/积极,消极和中性情绪.
- 尺度项目和准确度作为结果措施是最有效的调节者;年龄,性别和药物状况没有显著调节效应.
结论:
- 情绪处理障碍是注意力缺陷/多动障碍的一个普遍且相关的特征.
- 这些缺陷跨越各种情绪类别,表明全球性损伤,而不是特定类别的问题.
- 对情绪处理的系统评估应纳入ADHD患者的临床评估和管理.
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