Does Mind-Wandering Explain ADHD-Related Impairment in Adolescents?

IF 2.2 3区医学 Q2 PSYCHIATRY Child Psychiatry & Human Development Pub Date : 2025-04-01 Epub Date: 2023-06-29 DOI:10.1007/s10578-023-01557-2

Tycho J Dekkers, Ajda Flisar, Adrian Karami Motaghi, Alexandra Karl, Matilda A Frick, Bianca E Boyer

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Abstract

Currently, diagnostic criteria for ADHD mainly reflect behavioral symptoms, neglecting internal phenomena like mind-wandering. Recent studies found that mind-wandering explains impairment beyond ADHD symptoms in adults. To better capture ADHD-related impairment in adolescents, we aimed to elucidate whether mind-wandering is associated with impairments that are prevalent in adolescents (i.e., risk-taking behavior, homework problems, emotional dysregulation, and general impairment) beyond ADHD symptoms. Furthermore, we sought to validate the Dutch translation of the Mind Excessively Wandering Scale (MEWS). We assessed a community sample of 626 adolescents on ADHD symptoms, mind-wandering, and the impairment domains. The Dutch MEWS had good psychometric properties. Mind-wandering was linked to general impairment and emotional dysregulation beyond ADHD symptoms, but was not linked to risk-taking behavior and homework problems beyond ADHD symptoms. Internal psychological phenomena such as mind-wandering may add to the behavioral symptoms of ADHD in explaining part of the impairment that adolescents with ADHD characteristics experience.

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走神能解释青少年adhd相关损伤吗？

目前，ADHD的诊断标准主要反映行为症状，忽视了走神等内在现象。最近的研究发现，走神可以解释成人多动症症状之外的损害。为了更好地捕捉青少年ADHD相关损害，我们旨在阐明走神是否与青少年中普遍存在的损害（即冒险行为、家庭作业问题、情绪失调和一般损害）有关。此外，我们试图验证荷兰语翻译的思维过度游荡量表（MEWS）。我们评估了一个由626名青少年组成的社区样本的ADHD症状、走神和损伤域。荷兰MEWS具有良好的心理测量特性。走神与多动症症状之外的一般损伤和情绪失调有关，但与多动症症状之外的冒险行为和家庭作业问题无关。内部心理现象，如走神，可能会增加ADHD的行为症状，以解释具有ADHD特征的青少年所经历的部分损害。

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来源期刊

Child Psychiatry & Human Development Multiple-

CiteScore

0.50

自引率

3.40%

发文量

174

期刊介绍： Child Psychiatry & Human Development is an interdisciplinary international journal serving the groups represented by child and adolescent psychiatry, clinical child/pediatric/family psychology, pediatrics, social science, and human development. The journal publishes research on diagnosis, assessment, treatment, epidemiology, development, advocacy, training, cultural factors, ethics, policy, and professional issues as related to clinical disorders in children, adolescents, and families. The journal publishes peer-reviewed original empirical research in addition to substantive and theoretical reviews.