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[注意力和冲动控制障碍中的家族模式]

[Familial patterns in disorders of attention and impulse control].

作者信息

Stadler Christina, Holtmann Martin, Claus Dieter, Büttner Gerhard, Berger Nicole, Maier Joachim, Poustka Fritz, Schmeck Klaus

机构信息

Klinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters, Goethe-Universität Frankfurt am Main.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2006;55(5):350-62.

Abstract

Attention deficit hyperactivity disorder (ADHD) persists into adulthood in about 30 to 50% of cases. Symptoms of ADHD in parents might affect effective therapeutic approaches in children. The objective of this study was to investigate (1) the retrospective rate of ADHD in biological parents of children with a diagnosis of ADHD, (2) the relation between retrospective ADHD symptomatology and current attention problems and impulsivity in parents, (3) whether the degree of ADHD severity and comorbidty in ADHD children depends on parental ADHD symptoms. The Wender-Utah-Rating Scale for the retrospective assessment of childhood attention deficit hyperactivity disorder was administered to the biological parents of n = 68 ADHD patients and detected high rates of ADHD in fathers (31%) and mothers (25%) of patients with ADHD. Retrospectively assessed symptoms in parents correlated significantly with current symptoms of attention problems (ADD-Brown scales) and impulsivity (17). In children, the highest degree of ADHD symptoms and comorbidty was found in children with both parents suffering from ADHD in childhood compared to those with only one or none affected parent.

摘要

注意缺陷多动障碍(ADHD)在约30%至50%的病例中会持续至成年期。父母患有ADHD的症状可能会影响对儿童的有效治疗方法。本研究的目的是调查:(1)被诊断为ADHD的儿童的亲生父母中ADHD的回顾性发生率;(2)回顾性ADHD症状与父母当前的注意力问题和冲动性之间的关系;(3)ADHD儿童的ADHD严重程度和共病程度是否取决于父母的ADHD症状。对68名ADHD患者的亲生父母采用温德-犹他儿童注意力缺陷多动障碍回顾性评定量表进行评定,结果发现ADHD患者的父亲(31%)和母亲(25%)中ADHD的发生率较高。父母回顾性评定的症状与当前的注意力问题(ADD-布朗量表)和冲动性症状(17)显著相关。在儿童中,与父母一方或双方童年期均未患ADHD的儿童相比,父母双方童年期均患ADHD的儿童ADHD症状和共病程度最高。

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