Coping with emotional dysregulation among young adults with ADHD: A mixed-method study of self-awareness and strategies in daily life.

IF 1.7 3区心理学 Q4 NEUROSCIENCES Neuropsychological Rehabilitation Pub Date : 2024-09-01 Epub Date: 2023-11-16 DOI:10.1080/09602011.2023.2279181

Maayan Ben-Dor Cohen, Mor Nahum, Ruthie Traub Bar-Ilan, Eran Eldar, Adina Maeir

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Abstract

Background: Emotional dysregulation (ED) impacts functional outcomes among individuals with attention-deficit hyperactivity disorder (ADHD). Self-awareness and strategies may enhance coping with ED yet are rarely studied in ADHD.

Objectives: To explore ED-related self-awareness and strategies in daily life of adults with ADHD, and to examine the interrelations between them and their association with symptoms.

Methods: Sixty young adults with ADHD participated in a mixed-method study. At baseline, self-awareness and strategies were assessed using the Self-Regulation Skills Interview (SRSI); ADHD symptoms were self-rated using the ASRS symptom checklist. Then, symptoms were rated over 5-days using ecological momentary assessment (EMA).

Results: Significant challenges in self-awareness and strategies were demonstrated quantitatively and qualitatively. Awareness of ED was associated with variability of ADHD symptoms on EMA yet not with symptom severity. Qualitative content analysis revealed a range of self-awareness levels, which were related to noticing ED-related cues and understanding contextual factors predictive of ED. Self-awareness and strategies were significantly associated. Strategies varied regarding effort, individual preference and temporality.

Conclusions: Variability of ADHD symptoms was negatively associated with self-awareness of ED. Strategy selection in daily-life among adults with ADHD may be affected by self-awareness and by a possible trade-off between short-term effort and long-term effectiveness.

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青少年ADHD患者情绪失调的应对:日常生活中自我意识和策略的混合方法研究。

背景:情绪失调(ED)影响注意缺陷多动障碍(ADHD)患者的功能结局。自我意识和策略可能会增强ED的应对能力，但很少在ADHD中进行研究。目的:探讨ADHD成人日常生活中ed相关的自我意识和策略，并探讨两者之间的相互关系及其与症状的关联。方法:60名患有多动症的年轻成年人参加了一项混合方法研究。在基线时，使用自我调节技能访谈(SRSI)评估自我意识和策略;使用ASRS症状表对ADHD症状进行自评。然后，使用生态瞬时评估(EMA)对5天内的症状进行评分。结果:定量和定性地展示了自我意识和策略方面的重大挑战。对ED的认识与EMA患者ADHD症状的变异性相关，但与症状严重程度无关。定性内容分析揭示了自我意识水平的范围，这些水平与注意ED相关线索和理解ED预测的上下文因素有关，自我意识和策略显著相关。策略因努力程度、个人偏好和时间性而异。结论:ADHD症状的可变性与ED的自我意识呈负相关。ADHD成人日常生活中的策略选择可能受到自我意识的影响，并可能受到短期努力和长期效果之间的权衡的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neuropsychological Rehabilitation 医学-神经科学

CiteScore

6.30

自引率

7.40%

发文量

审稿时长

>12 weeks

期刊介绍： Neuropsychological Rehabilitation publishes human experimental and clinical research related to rehabilitation, recovery of function, and brain plasticity. The journal is aimed at clinicians who wish to inform their practice in the light of the latest scientific research; at researchers in neurorehabilitation; and finally at researchers in cognitive neuroscience and related fields interested in the mechanisms of recovery and rehabilitation. Papers on neuropsychological assessment will be considered, and special topic reviews (2500-5000 words) addressing specific key questions in rehabilitation, recovery and brain plasticity will also be welcomed. The latter will enter a fast-track refereeing process.