首页|注意缺陷多动障碍儿童父母情绪调节困难和儿童情绪调节的关系

注意缺陷多动障碍儿童父母情绪调节困难和儿童情绪调节的关系

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目的:探讨注意缺陷多动障碍(ADHD)儿童父母的情绪调节特点及其对ADHD儿童情绪调节的影响。方法:纳入140例符合美国精神障碍诊断与统计手册第四版(DSM-Ⅳ)ADHD诊断标准的儿童及其父母之一，68例正常儿童及其父母之一。采用情绪调节困难量表(DERS)、情绪调节问卷(ERQ)和儿童情绪调节量表(ERC)对父母和儿童情绪调节分别进行评估。结果:ADHD儿童父母DERS的策略使用、冲动控制和目标行为得分较正常对照组高(均P＜0。05)。ADHD儿童ERC情绪不稳得分与父母的策略使用和冲动控制得分正相关，ERC儿童情绪调节得分与父母的策略使用、冲动控制和目标行为得分负相关(均P＜0。01)。ERC儿童情绪调节得分在父母策略使用、冲动控制得分与儿童情绪不稳得分之间存在部分中介效应。结论:ADHD儿童父母存在多个维度的情绪调节缺陷，可对ADHD儿童情绪调节产生影响而加重情绪不稳表现。
Correlation between parental emotional regulation difficulties and emotional regulation in children with attention deficit hyperactivity disorder
Objective:To explore the characteristics of parental emotional regulation(ER)and its influence on the ER of children with attention deficit hyperactivity disorder(ADHD).Methods:A total of 140 children with ADHD meeting the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition(DSM-Ⅳ)criteria and their parents,68 normal controls and their parents were recruited.ER was assessed using the Difficulties in Emotion Regulation Scale(DERS),Emotion Regulation Questionnaire(ERQ)and Emotion Regulation Checklist(ERC).Re-sults:Higher scores of DERS in emotion regulation strategies,impulse control and goal-directed behavior were found in parents of children with ADHD compared with parents of normal controls(Ps＜0.05).The higher emo-tional lability(EL)of ERC and lower ER of ERC detected in children with ADHD were correlated with the emo-tion regulation strategies,impulse control and goal-directed behavior of their parents(Ps＜0.01).The mediation an-alyses suggested that ER in children with ADHD may mediate the relationship of parental emotion regulation strate-gies and parental impulse control with children's EL.Conclusion:Parents of children with ADHD may exhibit emo-tional dysregulation in multiple subdimensions which might affect emotional regulation and aggravate the emotional lability of children with ADHD.

attention deficit hyperactivity disorderemotional regulationparentschild

岳鑫鑫、刘若楠、刘倩溶、李海梅、王玉凤、刘璐、钱秋谨

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北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京 100083

新疆维吾尔自治区人民医院,乌鲁木齐 830000

注意缺陷多动障碍 情绪调节 父母 儿童

首都卫生发展科研专项首都卫生发展科研专项北京市科技新星计划中央高校基本科研业务费专项北京大学临床医学+X青年专项国家精神心理疾病临床医学研究中心(北京大学第六医院)自主探索课题

CFH:2022-24114CFH:2020-2-411220220484061PKU2023LCXQ043NCRC2021M06

2024

10.3969/j.issn.1000-6729.2024.07.001

中国心理卫生杂志
中国心理卫生协会

中国心理卫生杂志

CSTPCDCHSSCD北大核心
影响因子：2.088
ISSN：1000-6729
年,卷(期)：2024.38(7)