在ADHD中易怒的含义:系统性审查
Renata Maria Silva Santos1, Jamile Noele de Andrade2, André Soares da Silva3
1Postgraduate Program in Molecular Medicine, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil.
患有注意力缺陷/多动障碍 (ADHD) 的儿童的易怒与更严重的症状和更多的心理健康问题有关. 解决易怒是改善ADHD治疗结果的关键.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 神经发育障碍 神经发育障碍
- 行为科学 行为科学
背景情况:
- 注意缺陷/多动障碍 (ADHD) 是一种常见的神经发育障碍.
- 在患有ADHD的儿童中经常观察到易怒,但其具体作用需要进一步阐明.
研究的目的:
- 系统地审查和综合现有关于易怒性在被诊断为ADHD的儿童心理病理和功能中的作用的文献.
主要方法:
- 按照PRISMA指南进行的系统审查.
- 搜索了相关研究的多个数据库,产生了3,902个初始结果.
- 在删除重复和应用排除标准后,包括24篇文章.
主要成果:
- 较高的易怒程度与更严重的ADHD症状和增加的精神伴随性疾病 (抑郁症,焦虑症,双相情感障碍) 有很强的相关性.
- 易怒与反对性挑战性障碍,内化/外化行为,较差的认知功能 (语言,情感识别) 和受损的抑制控制有关.
- 慢性易怒与减少的社交技能,放弃任务,更快的反应时间和更低的准确性有关,并且与自杀倾向有显著的相关性.
结论:
- 易怒会加剧ADHD的症状,并增加精神病相关疾病的风险.
- 在ADHD评估和治疗中考虑易怒性对于改善心理健康结果和预后至关重要.
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