注意缺陷多动障碍中的社交功能困难：与广泛性发育障碍风险的关联。
Social functioning difficulties in ADHD: association with PDD risk.
作者信息
Carpenter Rich Erika, Loo Sandra K, Yang May, Dang Jeff, Smalley Susan L
机构信息
Center for Neurobehavioral Genetics, University of California, Los Angeles, USA.
出版信息
Clin Child Psychol Psychiatry. 2009 Jul;14(3):329-44. doi: 10.1177/1359104508100890.
Abstract
Although social difficulties are a common feature of Attention-Deficit Hyperactivity Disorder (ADHD), little is known about the diversity of social problems, their etiology, or their relationship to disorders of social behavior, such as autism or Pervasive Developmental Disorder (PDD). In 379 children and adolescents with ADHD, social functioning was assessed using the Child Behavior Checklist (Achenbach, 1991). Factor analysis and structural equation modeling revealed two factors that we labeled Peer Rejection and Social Immaturity. A factor reflecting ;PDD risk' was defined from eight items of a separate screening instrument for PDD and examined for its association with these two social factors. There was a significant association with both factors, but the association was much stronger for the Social Immaturity (Standardized Beta [beta ] = .51) than Peer Rejection (beta = .29) factors. Social Immaturity was also associated with a greater number of hyperactive symptoms while high Peer Rejection was associated with increased aggression and lower IQ in the ADHD children.
摘要
尽管社交困难是注意力缺陷多动障碍（ADHD）的一个常见特征，但对于社交问题的多样性、其病因，或它们与社交行为障碍（如自闭症或广泛性发育障碍（PDD））之间的关系，我们知之甚少。在379名患有ADHD的儿童和青少年中，使用儿童行为检查表（Achenbach，1991）评估社交功能。因子分析和结构方程模型揭示了两个因子，我们将其标记为同伴排斥和社交不成熟。一个反映“PDD风险”的因子是从一份单独的PDD筛查工具的八个项目中定义的，并检验其与这两个社交因子的关联。与这两个因子均存在显著关联，但社交不成熟因子（标准化β[β]=0.51）的关联比同伴排斥因子（β=0.29）强得多。社交不成熟还与更多的多动症状相关，而在ADHD儿童中，高同伴排斥与攻击性增加和智商降低相关。
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