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Network analysis of 18 attention-deficit/hyperactivity disorder symptoms suggests the importance of "Distracted" and "Fidget" as central symptoms: Invariance across age, gender, and subtype presentations

文献类型：期刊论文

作者Liu, Lu9,10; Wang, Yi7,8; Chen, Wai1,2,3,4,5,6; Gao, Yuan9,10; Li, Haimei9,10; Wang, Yufeng9,10; Chan, Raymond C. K.7,8; Qian, Qiujin9,10
刊名FRONTIERS IN PSYCHIATRY
出版日期2022-10-21
卷号13页码:15
关键词ADHD symptom structure network analysis community subgroups
ISSN号1664-0640
DOI10.3389/fpsyt.2022.974283
通讯作者Chan, Raymond C. K.(rckchan@psych.ac.cn) ; Qian, Qiujin(qianqiujin@bjmu.edu.cn)
英文摘要The network theory of mental disorders conceptualizes psychiatric symptoms as networks of symptoms that causally interact with each other. Our present study aimed to explore the symptomatic structure in children with attention-deficit/hyperactivity disorder (ADHD) using network analyses. Symptom network based on 18 items of ADHD Rating Scale-IV was evaluated in 4,033 children and adolescents with ADHD. The importance of nodes was evaluated quantitatively by examining centrality indices, including Strength, Betweenness and Closeness, as well as Predictability and Expected Influence (EI). In addition, we compared the network structure across different subgroups, as characterized by ADHD subtypes, gender and age groups to evaluate its invariance. A three-factor-community structure was identified including inattentive, hyperactive and impulsive clusters. For the centrality indices, the nodes of "Distracted" and "Fidget" showed high closeness and betweenness, and represented a bridge linking the inattentive and hyperactive/impulsive domains. "Details" and "Fidget" were the most common endorsed symptoms in inattentive and hyperactive/impulsive domains respectively. On the contrary, the "Listen" item formed a peripheral node showing weak links with all other items within the inattentive cluster, and the "Loss" item as the least central node by all measures of centrality and with low predictability value. The network structure was relatively invariant across gender, age and ADHD subtypes/presentations. The 18 items of ADHD core symptoms appear not equivalent and interchangeable. "Distracted" and "Fidget" should be considered as central, or core, symptoms for further evaluation and intervention. The network-informed differentiation of these symptoms has the potentials to refine the phenotype and reduce heterogeneity.
收录类别SCI
WOS关键词ADHD ; CHILDHOOD
资助项目National Natural Science Foundation of China[81873802] ; National Natural Science Foundation of China[81571340] ; National Natural Science Foundation of China[81641163] ; Capital Foundation of Medical Developments[CFMD: 2022-4114] ; National Basic Research Program of China (973 program)[2015CB856405] ; National Basic Research Program of China (973 program)[2014CB846104] ; Beijing Natural Science Foundation[7172245]
WOS研究方向Psychiatry
语种英语
WOS记录号WOS:000880080700001
出版者FRONTIERS MEDIA SA
资助机构National Natural Science Foundation of China ; Capital Foundation of Medical Developments ; National Basic Research Program of China (973 program) ; Beijing Natural Science Foundation
源URL[http://ir.psych.ac.cn/handle/311026/43986]  
专题心理研究所_中国科学院心理健康重点实验室
通讯作者Chan, Raymond C. K.; Qian, Qiujin
作者单位1.Murdoch Univ, Sch Psychol, Perth, WA, Australia
2.Univ Notre Dame Australia, Sch Med, Fremantle, WA, Australia
3.Univ Western Australia, Grad Sch Educ, Perth, WA, Australia
4.Curtin Univ, Curtin enAble Inst, Bentley, WA, Australia
5.Curtin Univ, Curtin Med Sch, Perth, WA, Australia
6.Fiona Stanley Hosp, Mental Hlth Serv, Perth, WA, Australia
7.Univ Chinese Acad Sci, Dept Psychol, Beijing, Peoples R China
8.Inst Psychol, Neuropsychol & Appl Cognit Neurosci Lab, CAS Key Lab Mental Hlth, Beijing, Peoples R China
9.Peking Univ, Natl Clin Res Ctr Mental Disorders, Key Lab Mental Hlth, Minist Hlth, Beijing, Peoples R China
10.Peking Univ, Inst Mental Hlth, Hosp 6, Beijing, Peoples R China
推荐引用方式
GB/T 7714		 Liu, Lu,Wang, Yi,Chen, Wai,et al. Network analysis of 18 attention-deficit/hyperactivity disorder symptoms suggests the importance of "Distracted" and "Fidget" as central symptoms: Invariance across age, gender, and subtype presentations[J]. FRONTIERS IN PSYCHIATRY,2022,13:15.
APA Liu, Lu.,Wang, Yi.,Chen, Wai.,Gao, Yuan.,Li, Haimei.,...&Qian, Qiujin.(2022).Network analysis of 18 attention-deficit/hyperactivity disorder symptoms suggests the importance of "Distracted" and "Fidget" as central symptoms: Invariance across age, gender, and subtype presentations.FRONTIERS IN PSYCHIATRY,13,15.
MLA Liu, Lu,et al."Network analysis of 18 attention-deficit/hyperactivity disorder symptoms suggests the importance of "Distracted" and "Fidget" as central symptoms: Invariance across age, gender, and subtype presentations".FRONTIERS IN PSYCHIATRY 13(2022):15.

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来源：心理研究所

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