The role of emotional dysregulation between attention-deficit/hyperactivity disorder and oppositional defiant disorder based on symptom network analysis
10.3760/cma.j.cn113661-20231218-00250
- VernacularTitle:基于症状网络分析探讨情绪失调在注意缺陷多动障碍与对立违抗障碍间的作用
- Author:
Yuan GAO
1
;
Qianrong LIU
1
;
Haimei LI
1
;
Meirong PAN
1
;
Ziqing ZHU
1
;
Feifei SI
1
;
Mengjie ZHAO
1
;
Xinxin YUE
1
;
Yufeng WANG
1
;
Qiujin QIAN
1
;
Lu LIU
1
Author Information
1. 北京大学第六医院 北京大学精神卫生研究所 国家卫生健康委员会精神卫生学重点实验室（北京大学）国家精神心理疾病临床医学研究中心（北京大学第六医院），北京 100191
- Publication Type:Journal Article
- Keywords:
Attention deficit disorder with hyperactivity;
Oppositional defiant disorder;
Emotional dysregulation;
Network analysis
- From:
Chinese Journal of Psychiatry
2024;57(9):586-594
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study explores the relationship between emotional dysregulation, attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) symptoms using network models.Method:A total of 967 children with ADHD comorbid ODD were recruited from the outpatient department of Peking University Sixth Hospital from September 2002 to June 2022. All subjects were rated for the ADHD symptom severity using the ADHD symptom rating scale. ODD symptoms and emotional dysregulation symptoms were assessed by the Children′s Clinical Diagnostic Interview Scale, and the Conners′ Parent Symptom Questionnaire. R (version 4.2.1) packages mgm, qgraph, bnlearn, etc. were used for network analysis, and centrality indices were calculated to define central symptoms and bridge symptoms. Results:The relationship between emotional dysregulation and ODD symptoms was closer. ODD symptoms had higher strength indices, especially the items "gets annoyed or irritated by the behavior of adults"(strength=3.57) and "loses temper or gets angry with adults when does not get his or her own way"(strength=2.32). Emotional dysregulation symptoms had a higher bridge strength indices, with "temper outbursts, explosive and unpredictable behavior" (bridge strength=2.64) as the most prominent item. Bayesian network analysis showed that ADHD symptoms were at the upper of DAG, directly linked with emotional dysregulation symptoms and indirectly linked with ODD symptoms through emotional dysregulation symptoms.Conclusion:Emotional dysregulation symptoms were more closely associated with ODD symptoms than ADHD symptoms, and might potentially acted as bridge symptoms between ADHD and ODD. ADHD symptoms might drive ODD symptoms indirectly through emotional dysregulation symptoms.
