情绪调节困难(DER)是注意缺陷多动障碍(ADHD)的定义特征,并且正在争论将其视为对立反抗障碍(ODD)的定义特征。然而,共识是,更好地将其视为与ADHD不同的重要关联。这项研究检查了DER在ADHD和ODD症状预测中超越特征冲动性(TI)的递增有效性。在这些预测中,它还检查了超过TI和(DER)的情感不稳定性(AL)的增量有效性。来自普通社区的525名成年人完成了一系列问卷。用于评估增量有效性的基于模型的SEM方法表明,TI预测了年龄的ADHD和ODD症状;DER预测了年龄和TI的ADHD和ODD症状;AL没有预测年龄以上的ADHD和ODD症状,IT,或DER。此外,AL预测了年龄和TI的ADHD和ODD症状,DER还预测了年龄以上的ADHD和ODD症状,TI,和AL。总之,TI是ADHD的核心,虽然DER很重要,它不太可能作为ADHD或ODD的诊断指标。尽管有这些发现,在解释我们的发现时需要谨慎,因为这项研究没有控制情绪调节的潜在影响因素,如年龄,性别,文化,和现有的精神病理学。
Difficulties in emotion regulation (DER) is a defining feature of attention deficit hyperactivity disorder (ADHD), and arguments are being made for it to be considered as a defining feature of oppositional defiant disorder (
ODD). However, the consensus is that it is better viewed as an important correlate distinct from ADHD. This study examined the incremental validity of DER over and above trait impulsivity (TI) in the predictions of ADHD and
ODD symptoms. It also examined the incremental validity of affect lability (AL) over and above TI and (DER) in these predictions. Five hundred and twenty-five adults from the general community completed a series of questionnaires. A model-based SEM approach for evaluating incremental validity indicated that TI predicted ADHD and ODD symptoms over age; DER predicted ADHD and
ODD symptoms over age and TI; and AL did not predict ADHD and
ODD symptoms over and above age, IT, or DER. In addition, AL predicted ADHD and
ODD symptoms over age and TI, and DER also predicted ADHD and
ODD symptoms over and above age, TI, and AL. In conclusion, TI is core to ADHD, and although DER is important, it is unlikely to be relevant as a diagnostic indicator for ADHD or ODD. These findings notwithstanding, there is need for caution when interpreting our findings, as the study did not control for potentially influencing factors on emotional regulation such as age, gender, culture, and existing psychopathologies.