Desregulação emocional no Transtorno de Déficit de Atenção e Hiperatividade (TDAH): novas fronteiras para intervenções cognitivas e habilidades sociais
DOI:
https://doi.org/10.34119/bjhrv7n9-109Keywords:
TDAH, desregulação emocional, habilidades sociais, TCC, mindfulnessAbstract
O Transtorno de Déficit de Atenção e Hiperatividade (TDAH) é amplamente associado à desregulação emocional, além dos sintomas clássicos de desatenção e hiperatividade, impactando habilidades sociais e aumentando a comorbidade psiquiátrica. Este estudo tem como objetivo investigar intervenções terapêuticas voltadas para a regulação emocional e desenvolvimento de habilidades sociais em pacientes com TDAH. Foi realizada uma revisão narrativa da literatura, abrangendo estudos publicados entre 2010 e 2023, com foco em terapias cognitivo-comportamentais (TCC), terapia comportamental dialética (DBT) e intervenções baseadas em mindfulness. Os resultados demonstram que a TCC e a DBT, quando associadas ao treinamento de pais e educadores, apresentam efeitos positivos na regulação emocional e no comportamento adaptativo. O mindfulness também mostrou potencial, especialmente em adolescentes e adultos. Contudo, limitações metodológicas e a necessidade de mais estudos randomizados sugerem que a eficácia dessas intervenções ainda não está totalmente consolidada. Conclui-se que a abordagem multidimensional, combinando terapias cognitivas e intervenções psicossociais, oferece avanços promissores no tratamento de TDAH.
References
AMEL, Afsaneh Karbasi; AMEL, Saeed Karbasi; ERFAN, Arefeh. Effectiveness of parents-focused cognitive-behavioral therapy on attention deficit hyperactivity disorder symptoms, obesity and self-esteem of overweight children with attention deficient hyperactivity disorder. Advanced biomedical research, v. 7, 2018.
ANASTOPOULOS, Arthur D. et al. Self-regulation of emotion, functional impairment, and comorbidity among childrenwith AD/HD. Journal of attention disorders, v. 15, n. 7, p. 583-592, 2011.
AMERICAN PSYCHIATRIC ASSOCIATION. Manual diagnóstico e estatístico de transtornos mentais: DSM-5-TR. 5. ed. rev. Porto Alegre: Artmed, 2023.
BEHESHTI, Ashkan; CHAVANON, Mira-Lynn; CHRISTIANSEN, Hanna. Emotion dysregulation in adults with attention deficit hyperactivity disorder: a meta-analysis. BMC psychiatry, v. 20, n. 1, p. 1-11, 2020.
BREAUX, Rosanna et al. A Mini-Review of Pharmacological and Psychosocial Interventions for Reducing Irritability Among Youth With ADHD. Frontiers in Psychiatry, p. 151, 2022.
CAIRNCROSS, Molly; MILLER, Carlin J. The effectiveness of mindfulness-based therapies for ADHD: A meta-analytic review. Journal of attention disorders, v. 24, n. 5, p. 627-643, 2020.
DRECHSLER, Renate et al. ADHD: Current concepts and treatments in children and adolescents. Neuropediatrics, v. 51, n. 05, p. 315-335, 2020.
EL ARCHI, Sarah et al. Co-occurrence of Adult ADHD Symptoms and Problematic Internet Use and Its Links With Impulsivity, Emotion Regulation, Anxiety, and Depression. Frontiers in Psychiatry, v. 13, 2022.
FANTOZZI, Pamela et al. Biological bases of empathy and social cognition in patients with attention-deficit/hyperactivity disorder: A focus on treatment with psychostimulants. Brain sciences, v. 11, n. 11, p. 1399, 2021.
GROVES, Nicole B. et al. Does central executive training and/or inhibitory control training improve emotion regulation for children with attention-deficit/hyperactivity disorder? A randomized controlled trial. Frontiers in Psychiatry, v. 13, 2022.
HAMERMAN, Revital; COHEN, Noga. Emotion control training enhances reappraisal success among individuals with reported ADHD symptoms. Sci Rep. 2022 Aug 18;12(1):14058. 2022.
JENSEN, Daniel André et al. An exploratory investigation of goal management training in adults with ADHD: improvements in inhibition and everyday functioning. Frontiers in psychology, v. 12, p. 659480, 2021.
LEE, Ka Shu et al. Characterizing the Neural Correlates of Response Inhibition and Error Processing in Children With Symptoms of Irritability and/or Attention-Deficit/Hyperactivity Disorder in the ABCD Study®. Frontiers in Psychiatry, v. 13, 2022.
LEE, Yi-Chen; CHEN, Chyi-Rong; LIN, Keh-Chung. Effects of Mindfulness-Based Interventions in Children and Adolescents with ADHD: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. International Journal of Environmental Research and Public Health, v. 19, n. 22, p. 15198, 2022.
MACPHERSON, Heather A.; CHEAVENS, Jennifer S.; FRISTAD, Mary A. Dialectical behavior therapy for adolescents: Theory, treatment adaptations, and empirical outcomes. Clinical child and family psychology review, v. 16, n. 1, p. 59-80, 2013.
MEYER, Jenny et al. Moderators of long-term treatment outcome when comparing two group interventions for adolescents with ADHD: who benefits more from DBT-based skills training? BMC psychiatry, v. 22, n. 1, p. 1-12, 2022.
MOUKHTARIAN, Talar R. et al. Emotion dysregulation in attention-deficit/hyperactivity disorder and borderline personality disorder. Borderline personality disorder and emotion dysregulation, v. 5, n. 1, p. 1-11, 2018.
PEREPLETCHIKOVA, Francheska et al. Randomized clinical trial of dialectical behavior therapy for preadolescent children with disruptive mood dysregulation disorder: Feasibility and outcomes. Journal of the American Academy of Child & Adolescent Psychiatry, v. 56, n. 10, p. 832-840, 2017.
POISSANT, Hélène et al. Behavioral and cognitive impacts of mindfulness-based interventions on adults with attention-deficit hyperactivity disorder: a systematic review. Behavioural neurology, v. 2019, 2019.
POWELL, Lauren Amy et al. Psychoeducation Intervention Effectiveness to Improve Social Skills in Young People with ADHD: A Meta-Analysis. Journal of attention disorders, v. 26, n. 3, p. 340-357, 2022.
ROMERO-MARTÍNEZ, Ángel; LILA, Marisol; MOYA-ALBIOL, Luis. Alexithymia as a predictor of arousal and affect dysregulations when batterers with attention deficit hyperactivity disorder cope with acute stress. Behavioral Sciences, v. 10, n. 4, p. 70, 2020.
VAN DER OORD, Saskia; TRIPP, Gail. How to improve behavioral parent and teacher training for children with ADHD: Integrating empirical research on learning and motivation into treatment. Clinical child and family psychology review, v. 23, n. 4, p. 577-604, 2020.
WEINER, Luisa; PERROUD, Nader; WEIBEL, Sébastien. Attention deficit hyperactivity disorder and borderline personality disorder in adults: a review of their links and risks. Neuropsychiatric disease and treatment, v. 15, p. 3115, 2019.
WHO. Organização Mundial da Saúde. CID-10: Classificação Estatística Internacional de Doenças e Problemas Relacionados à Saúde. 10ª Revisão. Vol., 2. Genebra, 2004.
WHO. Organização Mundial da Saúde. CID-11. Classificação Internacional de Doenças. 11ª Revisão. Genebra, 2019.
XUE, Jiaming; ZHANG, Yun; HUANG, Ying. A meta-analytic investigation of the impact of mindfulness-based interventions on ADHD symptoms. Medicine, v. 98, n. 23, 2019.


