ABSTRACT

This study investigated whether poor performance in the Reading the Mind in the Eyes Test (RMET) and emotion dysregulation (ED) contributes to involvement in bullying among adolescents with attention-deficit/hyperactivity disorder (ADHD). Altogether, 105 adolescents with ADHD aged 10–18 years (mean: 13.9±1.8 years, 77% boys) were recruited. RMET was applied to evaluate the ToM abilities. Participants completed the Difficulties in Emotion Regulation Scale (DERS) and the Olweus Bully/Victim Questionnaire to measure ED and evaluate involvement in bullying, respectively. Among the subjects, 24.8% were victims, 23.8% were perpetrators. The perpetrators and victims exhibited significantly lower RMET scores and higher DERS awareness scores than non-victims/non-perpetrators. The perpetrators also exhibited significantly higher DERS impulse scores and DERS total scores than non-victims/non-perpetrators. Binary logistic regression analysis revealed that a 1-point decrease in the RMET score increased the odds of bullying victimization by 53% and bullying perpetration by 21.6%, while a 1-point increase in DERS impulse scores increased the risk of bullying perpetration by 14.9%. This study is the first to show an association between poor ToM ability and involvement in bullying as victims/perpetrators among children with ADHD. Both victims and perpetrators had problems with emotional awareness, while only perpetrators had difficulties controlling their impulses.

摘要

这项研究调查了在眼睛阅读测试 (RMET) 和情绪失调 (ED) 中表现不佳是否会导致注意力缺陷/多动障碍 (ADHD) 青少年遭受欺凌。总共招募了 105 名 10-18 岁的多动症青少年（平均：13.9±1.8 岁，77% 男孩）。应用 RMET 来评估 ToM 能力。参与者完成了情绪调节难度量表 (DERS) 和 Olweus Bully/受害者问卷，分别测量 ED 和评估是否参与欺凌。在被调查对象中，24.8%是受害者，23.8%是肇事者。与非受害者/非肇事者相比，肇事者和受害者表现出显着较低的 RMET 分数和较高的 DERS 意识分数。肇事者还表现出明显高于非受害者/非肇事者的 DERS 冲动分数和 DERS 总分。二元逻辑回归分析显示，RMET 分数降低 1 分会使欺凌受害的几率增加 53%，欺凌行为增加 21.6%，而 DERS 冲动分数增加 1 分会使欺凌行为的风险增加 14.9% . 这项研究首次表明，在多动症儿童中，ToM 能力差与作为受害者/肇事者参与欺凌行为之间存在关联。受害者和施暴者都存在情绪意识问题，而只有施暴者难以控制自己的冲动。二元逻辑回归分析显示，RMET 分数降低 1 分会使欺凌受害的几率增加 53%，欺凌行为增加 21.6%，而 DERS 冲动分数增加 1 分会使欺凌行为的风险增加 14.9% . 这项研究首次表明，在多动症儿童中，ToM 能力差与作为受害者/肇事者参与欺凌行为之间存在关联。受害者和施暴者都存在情绪意识问题，而只有施暴者难以控制自己的冲动。二元逻辑回归分析显示，RMET 分数降低 1 分会使欺凌受害的几率增加 53%，欺凌行为增加 21.6%，而 DERS 冲动分数增加 1 分会使欺凌行为的风险增加 14.9% . 这项研究首次表明，在多动症儿童中，ToM 能力差与作为受害者/肇事者参与欺凌行为之间存在关联。受害者和施暴者都存在情绪意识问题，而只有施暴者难以控制自己的冲动。这项研究首次表明，在多动症儿童中，ToM 能力差与作为受害者/肇事者参与欺凌行为之间存在关联。受害者和施暴者都存在情绪意识问题，而只有施暴者难以控制自己的冲动。这项研究首次表明，在多动症儿童中，ToM 能力差与作为受害者/肇事者参与欺凌行为之间存在关联。受害者和施暴者都存在情绪意识问题，而只有施暴者难以控制自己的冲动。