Zalecki Christine A, Hinshaw Stephen P
Department of Psychology, University of California, Berkeley, CA 94720-1650, USA.
J Clin Child Adolesc Psychol. 2004 Mar;33(1):125-37. doi: 10.1207/S15374424JCCP3301_12.
We employed a multi-informant approach to examine attention deficit hyperactivity disorder (ADHD) subtype differences, as well as ADHD versus comparison group differences, in overt aggression, relational aggression, and peer regard related to such aggression. Participants included 228 girls (ages 6 to 12 years) diagnosed with either ADHD-Combined (ADHD-C; n = 93), ADHD-Inattentive (ADHD-I; n = 47), or nondiagnosed comparisons (n = 88) who attended research-based summer camp programs. Girls with ADHD-C exhibited higher rates of overt and relational aggression than did girls with ADHD-I, who in turn exhibited higher rates than comparison girls. For the ADHD-C subgroup, aggressive behavior was associated with both negative peer regard and lack of positive peer regard; for the ADHD-I subgroup, aggressive behavior was related to negative peer regard but not to positive peer regard. Controlling for subtype, relational aggression contributed incremental variance in peer regard over and above overt aggression, but effects for the latter were stronger. We discuss the importance of overt versus relational aggression for girls with ADHD as well as disparities in findings according to informant sources.
我们采用多 informant 方法，研究注意缺陷多动障碍（ADHD）的亚型差异，以及ADHD组与对照组在公开攻击、关系攻击以及与此类攻击相关的同伴评价方面的差异。参与者包括228名6至12岁的女孩，她们被诊断为ADHD混合型（ADHD-C；n = 93）、ADHD注意力不集中型（ADHD-I；n = 47）或未被诊断的对照组（n = 88），这些女孩参加了以研究为基础的夏令营项目。与ADHD-I女孩相比，ADHD-C女孩表现出更高的公开攻击和关系攻击率，而ADHD-I女孩又比对照组女孩表现出更高的攻击率。对于ADHD-C亚组，攻击行为与同伴的负面评价和缺乏正面评价都有关；对于ADHD-I亚组，攻击行为与同伴的负面评价有关，但与正面评价无关。在控制亚型的情况下，关系攻击比公开攻击在同伴评价方面贡献了更多的增量方差，但公开攻击的影响更强。我们讨论了公开攻击与关系攻击对ADHD女孩的重要性，以及根据 informant 来源得出的研究结果差异。
