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[注意缺陷多动障碍风险儿童的养育压力、母亲抑郁与行为问题之间的关系分析]

[Analysis of relationships between parenting stress, maternal depression, and behavioral problems in children at risk for Attention Deficit Hyperactive Disorder].

作者信息

Shin Hee Sun, Kim Jeong Mee

机构信息

The Environmental Health Center, Dankook University Medical Center, Department of Nursing, Dankook University, Cheonan, Korea.

出版信息

J Korean Acad Nurs. 2010 Jun;40(3):453-61. doi: 10.4040/jkan.2010.40.3.453.

DOI:10.4040/jkan.2010.40.3.453
PMID:20634636
Abstract

PURPOSE

In this study differences in behavioral problems between children at risk for Attention Deficit Hyperactive Disorder (ADHD) and normally developing children were identified. Further, relationships between parental stress, depression, and child behavioral problems according to ADHD symptoms were explored.

METHODS

Participants were 222 elementary school children and their parents. The ADHD risk group was determined by the Korean-ADHD Rating Scale. Data were collected using the Korean-ADHD Rating Scale, Korean version of Child Behavior CheckList (K-CBCL), Parenting Stress Index, and Beck Depression Inventory. Data were analyzed using t-test, Pearson correlation coefficients, and regression analysis.

RESULTS

  1. The ADHD risk group showed higher levels of behavioral problems, parenting stress, and maternal depression than the normal group. 2) There were significant relationships between ADHD scores and parenting stress (r=.66), maternal depression (r=.35), internal behavioral problems (r=.47), and external problems (r=.55), but, ADHD risk scores were negatively correlated with social competence (r=-.40). 3) The regression analysis revealed that ADHD levels affected the child's internal behavioral problems, mediated by maternal depression (beta=.29, p<.001).

CONCLUSION

The study results show that higher risk scores for ADHD indicate a significant effect for behavioral problems. Also, parenting stress and depression influence child's behavioral problems. These results suggest that identification of children at risk for ADHD and development of parental education programs would contribute to the prevention of behavioral problems and aggravation of the ADHD symptoms.

摘要

目的

本研究旨在确定注意力缺陷多动障碍(ADHD)风险儿童与正常发育儿童在行为问题上的差异。此外,还探讨了根据ADHD症状,父母压力、抑郁与儿童行为问题之间的关系。

方法

参与者为222名小学生及其父母。ADHD风险组通过韩国ADHD评定量表确定。使用韩国ADHD评定量表、韩国版儿童行为检查表(K-CBCL)、育儿压力指数和贝克抑郁量表收集数据。使用t检验、皮尔逊相关系数和回归分析对数据进行分析。

结果

1)ADHD风险组的行为问题、育儿压力和母亲抑郁水平高于正常组。2)ADHD得分与育儿压力(r = 0.66)、母亲抑郁(r = 0.35)、内部行为问题(r = 0.47)和外部问题(r = 0.55)之间存在显著关系,但ADHD风险得分与社会能力呈负相关(r = -0.40)。3)回归分析显示,ADHD水平通过母亲抑郁的中介作用影响儿童的内部行为问题(β = 0.29,p < 0.001)。

结论

研究结果表明,ADHD风险得分越高,对行为问题的影响越大。此外,育儿压力和抑郁会影响儿童的行为问题。这些结果表明,识别ADHD风险儿童并制定家长教育计划将有助于预防行为问题和ADHD症状的加重。

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