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注意缺陷多动障碍儿童中的同伴侵害

Peer victimization in children with attention-deficit hyperactivity disorder.

作者信息

Humphrey Jamie L, Storch Eric A, Geffken Gary R

机构信息

Department of Psychiatry, University of Florida, Gainsville, FL 32610, USA.

出版信息

J Child Health Care. 2007 Sep;11(3):248-60. doi: 10.1177/1367493507079571.

Abstract

This study examined the correlation of peer victimization to psychosocial adjustment in a sample of children diagnosed with attention-deficit hyperactivity disorder (ADHD). A total of 303 files of youth who received a psycho-educational assessment were reviewed; of these, 116 had an ADHD diagnosis. The data collected included the Child Behavior Checklist (which includes items assessing peer victimization), Conner's Parent Rating Scale, Revised Children's Manifest Anxiety Scale and Children's Depression Inventory. Peer victimization was positively correlated with parent reports of anxiety, depression, social problems, delinquent behavior and aggressive behavior. Children with a comorbid psychiatric diagnosis with ADHD reported higher rates of peer victimization than those without a comorbid diagnosis. Children diagnosed with ADHD along with a comorbid externalizing psychiatric diagnosis experienced higher rates of peer victimization than those with a comorbid internalizing psychiatric diagnosis. The implications of this study concerning peer victimization and psychosocial adjustment in children with ADHD are discussed.

摘要

本研究在被诊断为注意力缺陷多动障碍(ADHD)的儿童样本中,考察了同伴侵害与心理社会适应之间的相关性。共查阅了303份接受过心理教育评估的青少年档案;其中,116人被诊断为ADHD。收集的数据包括儿童行为量表(其中包括评估同伴侵害的项目)、康纳父母评定量表、修订版儿童显性焦虑量表和儿童抑郁量表。同伴侵害与父母报告的焦虑、抑郁、社交问题、违纪行为和攻击行为呈正相关。与没有共病诊断的儿童相比,患有ADHD合并精神疾病诊断的儿童报告的同伴侵害发生率更高。与患有共病内化性精神疾病诊断的儿童相比,被诊断为ADHD并伴有共病外化性精神疾病诊断的儿童遭受同伴侵害的发生率更高。本文讨论了本研究对于ADHD儿童同伴侵害与心理社会适应的意义。

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