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  

Correlation between parental emotional regulation difficulties and emotional regulation in children with attention deficit hyperactivity disorder

作　　者：岳鑫鑫 刘若楠[2] 刘倩溶 李海梅[1] 王玉凤[1] 刘璐[1] 钱秋谨[1] YUE Xinxin;LIU Ruonan;LIU Qianrong;LI Haimei;WANG Yufeng;LIU Lu;QIAN Qiujin(Peking University Sixth Hospital,Peking University Institute of Mental Health,NHC Key Laboratory of Mental Health(Peking University),National Clinical Research Center for Mental Disorders(Peking University Sixth Hospital),Beijing 100083,China;People's Hospital of Xinjang Uygur Autonomous Region,Urumqi 830000,China)

机构地区：[1]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 [2]新疆维吾尔自治区人民医院,乌鲁木齐830000

出　　处：《中国心理卫生杂志》2024年第7期553-558,共6页Chinese Mental Health Journal

基　　金：首都卫生发展科研专项(CFH:2022-2-4114;CFH:2020-2-4112);北京市科技新星计划(20220484061);北京大学临床医学+X青年专项(中央高校基本科研业务费,PKU2023LCXQ043);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(NCRC2021M06)。

摘　　要：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。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).Results: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 emotional lability(EL)of ERC and lower ER of ERC detected in children with ADHD were correlated with the emotion regulation strategies,impulse control and goal-directed behavior of their parents(Ps<0.01).The mediation analyses suggested that ER in children with ADHD may mediate the relationship of parental emotion regulation strategies and parental impulse control with children's EL.Conclusion:Parents of children with ADHD may exhibit emotional dysregulation in multiple subdimensions which might affect emotional regulation and aggravate the emotional lability of children with ADHD.

关 键 词：注意缺陷多动障碍 情绪调节 父母 儿童 

分 类 号：R749.94[医药卫生—神经病学与精神病学] B844.1[医药卫生—临床医学]