注意缺陷多动障碍的情绪失调及其机制

Yao Wu, Zhiguo Hu, Hongyan Liu
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摘要

注意缺陷多动障碍(ADHD)是一种高发的精神发育障碍。其核心症状是注意力缺陷、多动和冲动。以往的研究主要集中在ADHD的执行功能和认知控制方面。由于ADHD的情绪失调会导致社交互动、应对挫折、亲子关系等诸多负面后果,近年来越来越多的研究者认为,缺乏情绪调节能力可能是导致ADHD患者注意力无法集中、冲动行为过于活跃的重要原因。在行为层面上,ADHD患者的情绪失调主要表现为情绪冲动、情绪不稳定和消极情绪。在神经生理层面,发现ADHD患者情绪失调与心率变异性、呼吸窦性心律失常、晚期阳性成分LPP、静息状态神经网络活动异常有关。一些研究者提出了ADHD的“冷”和“热”执行功能理论,其中“热”调节回路与情绪调节过程的处理有关。需要进一步研究ADHD患者的积极情绪维持困难和诱导,以及合并症对ADHD患者的影响。此外,研究人员应结合神经生理学方法和家庭研究,明确ADHD患者情绪失调的脑机制及其遗传基础。关键词:注意缺陷多动障碍;情绪调节;冲动;抑制;大脑机制
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Emotion dysregulation and mechanisms in attention deficit hyperactivity disorder
Attention deficit hyperactivity disorder (ADHD) is a kind of mental development disorder with high prevalence. Its core symptoms are attention deficit, hyperactivity and impulse.Previous studies mainly focused on the executive function and cognitive control of ADHD. Since emotion dysregulation in ADHD results in a lot of negative consequences, such as social interaction, coping with frustration and parent-child relationship, more and more researchers believe that the lack of emotional regulation ability is likely to be an important reason for ADHD patients' inability to focus attention and hyperactive impulse behavior in recent years.At the behavioral level, ADHD patients' emotion dysregulation is mainly reflected in emotional impulsivity, emotional lability and negative emotionality.At the neurophysiological level, emotion dysregulation in ADHD patients was found to be related to heart rate variability, respiratory sinus arrhythmia, late positive component LPP and activity abnormality of resting state neural network. Some researchers have proposed the " cold" and " hot" executive function theory of ADHD, in which the " hot" regulatory circuit is associated with the processing the emotional regulation process. Future studies are needed to explore the maintaining difficulty and inducing positive emotion in ADHD, and the influence of comorbidities in ADHD. Moreover, researchers should combine neurophysiological method and family study to clarify the brain mechanism and its genetic basis underlying emotion dysregulation in ADHD patients. Key words: Attention deficit hyperactivity disorder; Emotion regulation; Impulsivity; Inhibition; Brain mechanism
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期刊介绍: "Chinese Journal of Behavioral Medicine and Brain Science" (CN 37-1468/R, ISSN 1674-6554) is a national academic journal under the supervision of the National Health Commission, sponsored by the Chinese Medical Association and Jining Medical College. The journal was founded in June 1992 and was formerly known as "Chinese Journal of Behavioral Medicine" (1992-1993) and "Chinese Behavioral Medical Science" (1994-2008). In 2009, it was renamed "Chinese Journal of Behavioral Medicine and Brain Science" with the approval of the State Administration of Press, Publication, Radio, Film and Television. The purpose of "Chinese Journal of Behavioral Medicine and Brain Science" is to implement the health and health policies of the Party and the State, implement the principle of combining theory with practice and popularization and improvement, and reflect the major progress in the theory and practical application of behavioral medicine and brain science in my country. It publishes academic papers and scientific research results in the field of behavioral medicine and brain science in my country, and has columns such as monographs/reviews, basic research, clinical research, health prevention, methods and techniques, psychological behavior and evaluation, and systematic evaluation.
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