摘要
目的 探讨注意缺陷多动障碍（ADHD）儿童的情绪调控特点.方法 对2012年8月至2014年4月到北京大学第六医院/精神卫生研究所门诊就诊,符合美国精神障碍诊断与统计手册第4版（DSM-Ⅳ）诊断标准的282例ADHD儿童[（9.4±2.6）岁]和来自附近中小学的260名健康对照儿童[（9.5±1.7）岁],采用Conner儿童行为问卷、学龄儿童执行功能行为评定量表（BRIEF）,Achenbach儿童行为量表（CBCL）和Rutter儿童行为问卷中的情绪因子或相关条目对ADHD情绪调控特点进行多维度的评定.结果 控制了年龄、性别和智商因素的影响,Conner问卷中,ADHD组的情绪不稳定分（EL）高于健康对照组[（4.3±2.6）分比（1.4±1.5）分,P ＜0.001];BRIEF量表中,ADHD组的情绪调控分（ECTRL）高于健康对照组[（16.1±4.4）分比（12.0±2.5）分,P＜0.001];CBCL量表中,ADHD组的情绪失调分（DESR）高于健康对照组[（26.8±11.0）分比（6.6±6.8）分,P ＜0.001];Rutter问卷中,ADHD组的情绪症状分（ES）高于健康对照组[（2.7±2.0）分比（1.7±1.5）分,P＜0.001].根据ROC曲线,EL的曲线下面积（AUC）为0.84,95％可信区间（CI）0.80～0.87;ECTRL的AUC为0.81,95％ CI0.77 ～0.84;DESR的AUC为0.95,95％ CI 0.93 ～ 0.97;ES的AUC为0.66,95％ CI0.61 ～0.70.结论 维度研究表明,ADHD儿童存在明显的情绪失调问题.
Objective To explore the characteristics of emotional regulation in children with attention-deficit/hyperactivity disorder （ADHD）.Methods Two hundred and eighty-two children who were diagnosed as ADHD according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition （DSM-Ⅳ） were recruited from the child psychiatric clinic of Peking University Sixth Hospital/Institute of Mental Health from August 2012 to April 2014.And 260 normal children from the local primary schools were selected as the healthy control group.The emotional factors or items of Conners＇ Parent Rating Scale, Behavior Rating Inventory of Executive Function （BRIEF）, Achenbach＇s Child Behavior Checklist （CBCL） and Rutter Children Behavior Questionnaire were used to assess the characteristics of emotional regulation multi-dimensionally.Results After controlling for the effects of age, sex and intelligence quotient （IQ）, in Conner scale, the emotional lability （EL） scores of ADHD group were significantly higher than that of healthy control group [（4.3 ±2.6） vs （1.4 ± 1.5）, P 〈0.001].In BRIEF scale, the emotional control （ECTRL） scores of ADHD group were significantly higher than that of control group [（16.1 ± 4.4） vs （12.0 ± 2.5）, P 〈 0.001].In CBCL scale, the deficient emotional self-regulation （DESR） scores of ADHD group were significantly higher than that of control group [（26.8 ± 11.0） vs （6.6 ± 6.8）, P 〈 0.001].In Rutter questionnaire, the emotional symptoms （ES） scores of ADHD group were significantly higher than that of control group [（2.7 ± 2.0） vs （1.7 ± 1.5）, P 〈 0.001].Based on the receiver operating characteristics （ROC） curve, the area under the curve （AUC） of EL was 0.84 with 95% Confidence Intervals （CI） 0.81-0.87.The AUC of ECTRL was 0.81 with 95% CI0.77-0.84.The AUC of DESR was 0.95 with 95% CI 0.93-0.97.The AUC of ES was 0.66 with 95% CI 0.61-0.70.Conclusions The study multi-dimensionally indicated that children wi
出处
《中华医学杂志》
CAS
CSCD
北大核心
2015年第39期3184-3189,共6页
National Medical Journal of China
基金
国家重点基础研究发展计划（2014CB846104）
国家自然科学基金（81371496,81301171）
关键词
注意缺陷障碍伴多动
情绪调控
多维度
儿童
Attention deficit disorder with hyperactivity
Emotional regulation
Multiple dimensions
Children
