The Characteristics and Age Effects of Emotional Lability in ADHD Children With and Without Oppositional Defiant Disorder

被引：3
|
作者：
Liu, Lu [1 ,2 ,3 ]
Chen, Wai [4 ,5 ]
Sun, Li [1 ,2 ,3 ]
Cheng, Jia [1 ,2 ,3 ]
Su, Yi [1 ,2 ,3 ]
Rudaizky, Daniel [5 ,6 ]
Li, Hai-Mei [1 ,2 ,3 ]
Yang, Li [1 ,2 ,3 ]
Qian, Qiu-Jin [1 ,2 ,3 ]
Wang, Yu-Feng [1 ,2 ,3 ]
机构：
[1] Peking Univ Sixth Hosp, Inst Mental Hlth, Beijing, Peoples R China
[2] Peking Univ, Natl Clin Res Ctr Mental Disorders, Minist Hlth, Beijing, Peoples R China
[3] Peking Univ, Key Lab Mental Hlth, Minist Hlth, Beijing, Peoples R China
[4] Univ Western Australia, Dept Child & Adolescent Psychiat, Perth, WA, Australia
[5] Complex Attent & Hyperact Disorders Serv, CAHDS, Dept Hlth, Perth, WA, Australia
[6] Univ Western Australia, Sch Psychol Sci, Perth, WA, Australia
来源：
JOURNAL OF ATTENTION DISORDERS | 2020年 / 24卷 / 14期
基金：
北京市自然科学基金; 中国国家自然科学基金;
关键词：
ADHD; emotional lability; gender; subtypes; ODD; age effect; ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DEFICIT HYPERACTIVITY DISORDER; EXECUTIVE FUNCTION; ADOLESCENTS; IMPAIRMENT; DYSREGULATION; COMORBIDITY;
D O I：
10.1177/1087054717745594
中图分类号：
B844 [发展心理学（人类心理学）];
学科分类号：
040202 ;
摘要：
Objective:This study evaluated the concurrent validity of emotional lability (EL) in children with ADHD.Method:A total of 2,015 children with ADHD and 745 typically developed controls (TDCs) were assessed and compared on EL.Results:ADHD participants expressed higher EL scores than TDCs, not influenced by gender or IQ. Higher levels of EL symptoms were found in children with comorbid oppositional defiant disorder (ODD) and with ADHD-combined subtype. Receiver operating characteristic (ROC) analyses showed a strong screening efficacy of EL symptoms on ADHD. The effect of developmental age on EL showed a desisting pattern in TDCs, as opposed to a persisting pattern in ADHD (not influenced by ODD comorbid status). ODD symptoms in ADHD showed an ascending pattern.Conclusion:EL can potentially serve as a sentinel index for the presence of ADHD, especially when the ADHD presentation is atypical. ODD may embody a developmental entity distinct from EL.
引用
收藏
页码：2042 / 2053
页数：12
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