PDF(Pubmed)
Abstract：
UNASSIGNED: To investigate the mediating effect of social problems in the effect pathway of emotional dysregulation influencing anxiety/depression emotions in children with attention-deficit/hyperactivity disorder (ADHD) and to explore the potential moderating effect of family functionality.
UNASSIGNED: A total of 235 children diagnosed with ADHD were enrolled in the study. The paticipants\' age ranged from 6 to 12. Emotion Regulation Checklist, Achenbach\'s Child Behavior Checklist (CBCL) Social Problems Subscale, CBCL Anxious/Depressed Subscale, and Family Assessment Device were used to evaluate the emotional regulation, social problems, anxiety/depression emotions, and family functionality of the participants. A moderated mediation model was employed to analyze whether social problems and family functionality mediate and moderate the relationship between emotional regulation and anxiety/depression emotions.
UNASSIGNED: Social problems partially mediated the impact of emotional dysregulation on anxiety/depression emotions in ADHD children, with the direct effect being 0.26 (95% confidence interval [CI]: [0.17, 0.36], P<0.001), the indirect effect being 0.13 (95% CI: [0.07, 0.19], P<0.001), and the mediating effect accounting for 33% of the total effect. Family functionality exhibited a positive moderating effect on the relationship between social problems and anxiety/depression emotions.
UNASSIGNED: This study contributes to the understanding of complex factors influencing anxiety/depression in children with ADHD, providing reference for the further development of targeted interventions for children with ADHD and the improvement of prognosis.
UNASSIGNED: A total of 235 children diagnosed with ADHD were enrolled in the study. The paticipants\' age ranged from 6 to 12. Emotion Regulation Checklist, Achenbach\'s Child Behavior Checklist (CBCL) Social Problems Subscale, CBCL Anxious/Depressed Subscale, and Family Assessment Device were used to evaluate the emotional regulation, social problems, anxiety/depression emotions, and family functionality of the participants. A moderated mediation model was employed to analyze whether social problems and family functionality mediate and moderate the relationship between emotional regulation and anxiety/depression emotions.
UNASSIGNED: Social problems partially mediated the impact of emotional dysregulation on anxiety/depression emotions in ADHD children, with the direct effect being 0.26 (95% confidence interval [CI]: [0.17, 0.36], P<0.001), the indirect effect being 0.13 (95% CI: [0.07, 0.19], P<0.001), and the mediating effect accounting for 33% of the total effect. Family functionality exhibited a positive moderating effect on the relationship between social problems and anxiety/depression emotions.
UNASSIGNED: This study contributes to the understanding of complex factors influencing anxiety/depression in children with ADHD, providing reference for the further development of targeted interventions for children with ADHD and the improvement of prognosis.
摘要：
■探讨社会问题在情绪失调影响注意缺陷多动障碍(ADHD)儿童焦虑/抑郁情绪的效应通路中的中介作用，并探讨家庭功能的潜在调节作用。
■共有235名被诊断为ADHD的儿童参加了这项研究。患者年龄从6岁到12岁不等。情绪调节检查表，Achenbach的儿童行为清单（CBCL）社会问题子量表，CBCL焦虑/抑郁分量表，和家庭评估装置用于评估情绪调节，社会问题,焦虑/抑郁情绪，以及参与者的家庭功能。采用有调节的调解模型来分析社会问题和家庭功能是否介导和缓和情绪调节与焦虑/抑郁情绪之间的关系。
■社会问题部分介导情绪失调对多动症儿童焦虑/抑郁情绪的影响，直接效应为0.26(95%置信区间[CI]：[0.17，0.36]，P<0.001)，间接影响为0.13(95%CI：[0.07，0.19]，P<0.001)，中介效应占总效应的33%。家庭功能对社会问题与焦虑/抑郁情绪之间的关系表现出积极的调节作用。
■这项研究有助于理解影响多动症儿童焦虑/抑郁的复杂因素，为进一步制定针对儿童多动症的针对性干预措施及改善预后提供参考。
■共有235名被诊断为ADHD的儿童参加了这项研究。患者年龄从6岁到12岁不等。情绪调节检查表，Achenbach的儿童行为清单（CBCL）社会问题子量表，CBCL焦虑/抑郁分量表，和家庭评估装置用于评估情绪调节，社会问题,焦虑/抑郁情绪，以及参与者的家庭功能。采用有调节的调解模型来分析社会问题和家庭功能是否介导和缓和情绪调节与焦虑/抑郁情绪之间的关系。
■社会问题部分介导情绪失调对多动症儿童焦虑/抑郁情绪的影响，直接效应为0.26(95%置信区间[CI]：[0.17，0.36]，P<0.001)，间接影响为0.13(95%CI：[0.07，0.19]，P<0.001)，中介效应占总效应的33%。家庭功能对社会问题与焦虑/抑郁情绪之间的关系表现出积极的调节作用。
■这项研究有助于理解影响多动症儿童焦虑/抑郁的复杂因素，为进一步制定针对儿童多动症的针对性干预措施及改善预后提供参考。
