母亲抑郁预示着母亲对患有注意力缺陷多动障碍的儿童使用体罚。
Maternal depression predicts maternal use of corporal punishment in children with attention-deficit/hyperactivity disorder.
作者信息
Shin Dong-Won, Stein Mark A
机构信息
Department of Psychiatry, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 108 Pyung-dong, Jongro-gu, Seoul 110-746, Korea.
出版信息
Yonsei Med J. 2008 Aug 30;49(4):573-80. doi: 10.3349/ymj.2008.49.4.573.
PURPOSE
We sought to determine if maternal depression contributed to the use of corporal punishment in children with attention-deficit/hyperactivity disorder (ADHD).
PATIENTS AND METHODS
The data were gathered through chart review of clinic-referred children with ADHD and their mothers who were evaluated at a psychiatric clinic located in a large academic medical center in Seoul, Korea. Daily records kept by parents and 13 items from the Physical Assault of the Parent-Child Conflict Tactics Scales (CTSPC) were used to assess corporal punishment. Ninety-one children with ADHD and their mothers were included in this study.
RESULTS
Mothers who used corporal punishment showed significantly higher scores on the Beck Depression Inventory (t = -2.952, df = 89, p < 0.01) than mothers who did not. Moreover, maternal depression contributed to the use of corporal punishment in ADHD children (Nagelkerke R2 = 0.102, p < 0.05).
CONCLUSION
Maternal depression contributes to the use of corporal punishment with children with ADHD. Assessment and management of the maternal depression should be an important focus of evaluation of children with ADHD.
目的
我们试图确定母亲抑郁是否会导致对患有注意力缺陷多动障碍（ADHD）的儿童使用体罚。
患者与方法
数据通过对在韩国首尔一家大型学术医疗中心的精神科诊所接受评估的临床转诊的ADHD儿童及其母亲的病历审查收集。父母记录的日常情况以及亲子冲突策略量表（CTSPC）中的13项身体攻击条目用于评估体罚情况。本研究纳入了91名患有ADHD的儿童及其母亲。
结果
使用体罚的母亲在贝克抑郁量表上的得分显著高于未使用体罚的母亲（t = -2.952，自由度 = 89，p < 0.01）。此外，母亲抑郁会导致对ADHD儿童使用体罚（Nagelkerke R2 = 0.102，p < 0.05）。
结论
母亲抑郁会导致对患有ADHD的儿童使用体罚。对母亲抑郁的评估和管理应成为ADHD儿童评估的重要重点。
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