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巴西非临床样本中注意力缺陷多动障碍(ADHD)学生家长的焦虑与抑郁状况

Anxiety and depression in parents of a Brazilian non-clinical sample of attention-deficit/ hyperactivity disorder (ADHD) students.

作者信息

Segenreich D, Fortes D, Coutinho G, Pastura G, Mattos P

机构信息

Instituto de Psiquiatria, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil.

出版信息

Braz J Med Biol Res. 2009 May;42(5):465-9. doi: 10.1590/s0100-879x2009000500011.

Abstract

Higher prevalence rates of anxiety and depression have been reported in parents of children with attention-deficit/hyperactivity disorder (ADHD). The interaction between the burden of ADHD in offspring, a higher prevalence rate of this highly inherited disorder in parents, and comorbidities may explain this finding. Our objective was to investigate levels of ADHD, anxious and depressive symptomatology, and their relationship in parents of ADHD children from a non-clinical sample using a dimensional approach. The sample included 396 students enrolled in all eight grades of a public school who were screened for ADHD using the SNAP IV rating scale. Positive cases were confirmed through a semi-structured interview. Parents of all 26 ADHD students and 31 paired controls were enrolled. A sample of 36 parents of ADHD children (21 mothers, 15 fathers) and 30 parents of control children (18 mothers, 12 fathers) completed the Adult Self Report Scale, State-Trait Anxiety Inventory, and Beck Depression Inventory in order to investigate anxious and depressive symptomatology. Probands' mothers presented a higher level of ADHD symptomatology (with only inattention being a significant cluster). Again, mothers of ADHD children presented higher depressive and anxiety levels; however, these did not correlate with their own ADHD symptomatology. Only trait-anxiety levels were higher in ADHD mothers. Our findings suggest that: 1) anxious and depressive symptoms might be more prevalent in mothers of ADHD students; 2) anxious and depressive symptomatology might be independent of impairment associated with ADHD symptoms; 3) anxious and depressive symptoms are independent of the presence of ADHD.

摘要

据报道,注意力缺陷多动障碍(ADHD)患儿的父母中焦虑和抑郁的患病率更高。后代ADHD的负担、父母中这种高度遗传性疾病的较高患病率以及合并症之间的相互作用可能解释了这一发现。我们的目的是使用维度方法,调查非临床样本中ADHD患儿父母的ADHD水平、焦虑和抑郁症状及其关系。样本包括一所公立学校所有八个年级的396名学生,他们使用SNAP IV评定量表进行ADHD筛查。通过半结构化访谈确认阳性病例。所有26名ADHD学生的父母和31名配对对照的父母均被纳入研究。36名ADHD患儿的父母(21名母亲,15名父亲)和30名对照儿童的父母(18名母亲,12名父亲)完成了成人自我报告量表、状态-特质焦虑量表和贝克抑郁量表,以调查焦虑和抑郁症状。先证者的母亲表现出更高水平的ADHD症状(只有注意力不集中是一个显著的聚类)。同样,ADHD患儿的母亲表现出更高的抑郁和焦虑水平;然而,这些与她们自己的ADHD症状并无关联。只有ADHD母亲的特质焦虑水平更高。我们的研究结果表明:1)ADHD学生的母亲中焦虑和抑郁症状可能更为普遍;2)焦虑和抑郁症状可能独立于与ADHD症状相关的损害;3)焦虑和抑郁症状独立于ADHD的存在。

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