情绪调节策略在注意缺陷多动障碍儿童症状与焦虑问题之间的中介作用

The mediating role of emotion regulation strategies between symptoms and anxiety problems in children with attention deficit hyperactivity disorder

摘要:

目的 探讨注意缺陷多动障碍（attention deficit hyperactivity disorder，ADHD）儿童情绪调节策略在症状与其焦虑问题之间的中介作用。方法 采用便利整群抽样法从新疆维吾尔自治区喀什市10所小学10 211名在校生中筛选出符合条件的ADHD共435例为研究对象，采用SNAP-Ⅳ评估量表、儿童青少年情绪调节问卷、Conners父母症状问卷进行调查，采用Spearman秩相关分析、有调节的中介法分析数据。结果 ADHD儿童认知重评策略得分与症状得分、焦虑问题得分呈负相关（分别r_s=-0.254、-0.270，P<0.001），症状得分与焦虑问题得分呈正相关（r_s=0.329，P<0.001）。中介效应分析结果显示，认知重评策略在症状与焦虑问题中起部分中介效应，95%置信区间为0.008~0.027，中介效应占总效应的16.10%；同时性别在该中介模型中起调节作用（P<0.001）。结论 ADHD儿童认知重评策略在ADHD儿童症状与焦虑问题之间起中介作用，同时性别调节了ADHD患儿症状与认知重评策略、焦虑问题的关系。

Abstract:

Objective To study the mediating role of emotion regulation strategies between symptoms and anxiety problems in children with attention deficit hyperactivity disorder (ADHD).Methods Convenience cluster sampling was performed to select 435 eligible children with ADHD from 10 211 students in 10 elementary schools in Kashgar of Xinjiang Uygur Autonomous Region. SNAP-IV Assessment Scale, Emotion Regulation Questionnaire for Children and Adolescents, and Conners Parent Symptoms Questionnaire were used to obtain relevant information. The Spearman correlation analysis and the moderated mediation method were used for data analysis.Results For the children with ADHD, the score of cognitive reappraisal was negatively correlated with the scores of symptoms and anxiety problems (r_s=-0.254 and -0.270 respectively, P<0.001), and the score of symptoms was positively correlated with the score of anxiety problems (r_s=0.329, P<0.001). The analysis of mediating effect showed that cognitive reappraisal played a partial mediating role between symptoms and anxiety problems, with a 95% confidence interval of 0.008-0.027, and the mediating effect accounted for 16.10% of the total effect. In addition, sex played a regulatory role in this mediation model (P<0.001).Conclusions Cognitive reappraisal plays a mediating role between symptoms and anxiety problems in children with ADHD, while sex regulates the relationship of symptoms with cognitive reappraisal and anxiety problems in these children.