对患有ADHD症状的个体进行比较时间网络分析:使用体验采样方法 (ESM) 检查精神病类经历与相关因素之间的关系
Hanna Gelner1, Paulina Bagrowska2, Błażej Misiak3
1Experimental Psychopathology Lab, Institute of Psychology, Polish Academy of Sciences, Stefana Jaracza 1, 00-378, Warsaw, Poland. hgelner@sd.psych.pan.pl.
European archives of psychiatry and clinical neuroscience
|February 12, 2026
概括
注意缺陷/多动障碍 (ADHD) 的症状会影响类似精神病的经历 (PLEs). 高ADHD症状严重程度与特定的皮质醇和幻觉类体验 (DLE) 动态相关,而低ADHD严重程度显示出不同的模式.
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.
- 心理学 心理学 心理学
背景情况:
- 类似精神病的经历 (PLEs),包括类似幻觉 (HLEs) 和类似妄想 (DLEs) 的经历,是精神病连续性的亚临床现象.
- PLEs的病因涉及神经发育变化,适应不良,负面情绪和压力,经常与注意力缺陷/多动障碍 (ADHD) 症状同时发生.
研究的目的:
- 研究PLE的时间动态,ADHD症状,皮质醇水平,负面影响 (NA),反和威胁预测 (TA).
- 为了在一般人口样本中比较ADHD症状严重程度高和低的个体之间的这些动态.
主要方法:
- 188名参与者完成了成人多动症自我报告量表 (ASRS) 和为期七天的生态瞬间评估 (EMA).
- 参与者被分为高ADHD (H_ADHD) 和低ADHD (L_ADHD) 组.
- 用唾液皮质醇,时间网络分析和顺序测试来分析关联和群体差异.
主要成果:
- 在H_ADHD组中,皮质醇预测了威胁预测 (TA),DLEs与TA有很强的关联. 皮质醇增加与TA有关.
- 在L_ADHD组中,HLE更多与反和TA有关. 负面影响 (NA) 在两组中都强烈预测了反.
- 在H_ADHD组中,DLEs具有最强的预测功能,而在L_ADHD组中,NA具有最强的预测功能. 皮质醇与H_ADHD中的TA和L_ADHD中的酒精消费有关.
结论:
- 在患有高与低ADHD症状的个体中,心理因素和生物标志物之间的时间动态存在显著差异.
- 针对ADHD患者的干预措施应针对NA,重点关注适应性情绪和压力调节策略.
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