在一项针对患有和未患有儿童多动症的年轻女性的前瞻性纵向研究中,对自导自演的暴力行为的观点进行了定性分析。

IF 2.7 3区 医学 Q2 PSYCHIATRY Journal of Attention Disorders Pub Date : 2024-07-01 Epub Date: 2024-01-31 DOI:10.1177/10870547231221729
Shaikh I Ahmad, Stephen P Hinshaw
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引用次数: 0

摘要

目的:非自杀性自导暴力(NSSDV)是一个重大且日益严重的青少年公共健康危机。患有多动症的女孩参与 NSSDV 的风险更高,但目前还缺乏对这一人群的定性研究,以更好地了解其表现形式、动机和发展过程:我们对 57 名年轻女性(32 名儿童多动症患者,25 名神经典型比较者;平均年龄 27 岁,是一项大型前瞻性纵向研究的一部分)进行了有关 NSSDV 历史和表现的半结构化定性访谈:结果:归纳和演绎分析揭示了几个关键主题,包括参与 NSSDV 的自我认知原因(情绪调节、寻求关注、自我惩罚、坚持控制)、冲动性、隐秘性,以及在某些情况下放弃的动机:研究结果强调了早期教育和筛查的重要性,尤其是在高危临床人群中。研究结果强调了早期教育和筛查的重要性,尤其是在高危临床人群中。需要为专业人士、家长和同伴提供更多的资源和支持,同时消除与多动症和 NSSDV 相关的顽固污名。
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A Qualitative Analysis of Perspectives on Self-directed Violence in a Prospective Longitudinal Study of Young Women With and Without Childhood ADHD.

Objective: Non-suicidal self-directed violence (NSSDV) is a significant and growing youth public health crisis. Girls with ADHD are at increased risk of engaging in NSSDV, yet qualitative studies with this population-to better understand manifestations, motivations, and developmental course-are lacking.

Method: We conducted semi-structured, qualitative interviews with a sub-sample of 57 young women (32 with childhood ADHD, 25 neurotypical comparisons; mean age of 27 years, part of a larger prospective longitudinal study) regarding histories and manifestations of NSSDV.

Results: Inductive and deductive analysis revealed several key themes, including self-perceived reasons for engaging in NSSDV (affect regulation, attention seeking, self-punishment, asserting control), impulsivity, secretiveness, and in some cases motivations for desistance.

Conclusion: Findings underscore the importance of early education and screening, especially among high-risk clinical populations. Increased resources and supports for professionals, parents, and peers are indicated, along with countering the persistent stigma associated with ADHD and NSSDV.

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来源期刊
CiteScore
7.60
自引率
6.70%
发文量
71
审稿时长
6-12 weeks
期刊介绍: Journal of Attention Disorders (JAD) focuses on basic and applied science concerning attention and related functions in children, adolescents, and adults. JAD publishes articles on diagnosis, comorbidity, neuropsychological functioning, psychopharmacology, and psychosocial issues. The journal also addresses practice, policy, and theory, as well as review articles, commentaries, in-depth analyses, empirical research articles, and case presentations or program evaluations.
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