临床人群中多动症与育儿失败之间的关联。
The association between hyperkinesis and breakdown of parenting in clinic populations.
作者信息
Foreman D M, Foreman D, Minty E B
机构信息
Child and Adolescent Mental Health Service, Skimped Hill Health Centre, Bracknell, UK.
出版信息
Arch Dis Child. 2005 Mar;90(3):245-8. doi: 10.1136/adc.2003.039826.
BACKGROUND
There is increasing recognition that child based, as well as parent based factors may be associated with children being excluded from their families. Despite the distress routinely observed among the parents of hyperactive children, there is little research on this in clinic populations.
AIMS
To examine removals from home in a typical secondary care population, where hyperkinesis was accurately diagnosed.
METHODS
A total of 201 cases were coded using mulitaxial ICD-10 criteria and Jarman indices derived from census data.
RESULTS
Hyperkinetic children were more than three times more likely to have suffered removal from home than children with other psychiatric diagnoses, independent of any psychosocial measure.
CONCLUSION
Hyperkinesis is a specific risk factor for removal from home, which can operate in the absence of other psychosocial stressors. Screening children for hyperactivity is now simple, and the routine paediatric examination for children accommodated by the local authority gives an opportunity for early detection and treatment of hyperactivity in children at risk of family breakdown.
背景
人们越来越认识到，基于儿童以及基于父母的因素可能与儿童被家庭排斥有关。尽管在多动症儿童的父母中经常观察到痛苦，但在临床人群中对此的研究很少。
目的
在一个准确诊断为多动症的典型二级护理人群中，研究家庭分离情况。
方法
使用多轴ICD - 10标准和从人口普查数据得出的贾曼指数对总共201例病例进行编码。
结果
与患有其他精神疾病诊断的儿童相比，多动症儿童被家庭分离的可能性要高出三倍多，且不受任何社会心理指标的影响。
结论
多动症是导致家庭分离的一个特定风险因素，在没有其他社会心理压力源的情况下也会起作用。现在对儿童进行多动症筛查很简单，地方当局收容儿童的常规儿科检查为早期发现和治疗有家庭破裂风险儿童的多动症提供了机会。
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