University of Virginia, 102 Gilmer Hall, Box 400400, Charlottesville, VA 22904-4400, USA.
J Abnorm Child Psychol. 2011 Apr;39(3):437-49. doi: 10.1007/s10802-010-9464-4.
The current study investigated the influence of maternal ADHD symptoms on: (a) mothers' own social functioning; (b) their child's social functioning; and (c) parent-child interactions following a lab-based playgroup involving children and their peers. Participants were 103 biological mothers of children ages 6-10. Approximately half of the children had ADHD, and the remainder were comparison youth. After statistical control of children's ADHD diagnostic status and mothers' educational attainment, mothers' own inattentive ADHD symptoms predicted poorer self-reported social skills. Children with ADHD were reported to have more social problems by parents and teachers, as well as received fewer positive sociometric nominations from playgroup peers relative to children without ADHD. After control of child ADHD status, higher maternal inattention and hyperactivity/impulsivity each predicted children having more parent-reported social problems; maternal inattention predicted children receiving more negative sociometric nominations from playgroup peers. There were interactions between maternal ADHD symptoms and children's ADHD diagnostic status in predicting some child behaviors and parent-child relationship measures. Specifically, maternal inattention was associated with decreased prosocial behavior for children without ADHD, but did not influence the prosocial behavior of children with ADHD. Maternal inattention was associated with mothers' decreased corrective feedback and, at a trend level, decreased irritability toward their children with ADHD, but there was no relationship between maternal inattention and maternal behaviors for children without ADHD. A similar pattern was observed for maternal hyperactivity/impulsivity and mothers' observed irritability towards their children. Treatment implications of findings are discussed.
本研究调查了母亲 ADHD 症状对以下方面的影响:(a)母亲自身的社交功能;(b)他们孩子的社交功能;以及(c)在包含儿童及其同伴的基于实验室的游戏小组之后的亲子互动。参与者是 103 名 6-10 岁儿童的亲生母亲。大约一半的孩子患有 ADHD,其余的是对照组的年轻人。在控制了儿童 ADHD 的诊断状况和母亲的教育程度后,母亲自身的注意力不集中 ADHD 症状预测了较差的自我报告社交技能。父母和老师报告说,患有 ADHD 的儿童有更多的社交问题,并且与没有 ADHD 的儿童相比,从游戏小组同伴那里获得的积极社交提名较少。在控制了儿童 ADHD 状况后,母亲的注意力不集中和多动/冲动程度越高,每个儿童的父母报告的社交问题就越多;母亲的注意力不集中预测儿童从游戏小组同伴那里获得更多的负面社会提名。母亲的 ADHD 症状和儿童的 ADHD 诊断状况在预测一些儿童行为和亲子关系措施方面存在相互作用。具体而言,对于没有 ADHD 的儿童,母亲的注意力不集中与亲社会行为减少有关,但对 ADHD 儿童的亲社会行为没有影响。母亲的注意力不集中与母亲对没有 ADHD 的儿童的纠正反馈减少有关,并且在趋势水平上,与母亲对患有 ADHD 的儿童的烦躁减少有关,但母亲的注意力不集中与没有 ADHD 的儿童的母亲行为之间没有关系。母亲的多动/冲动也观察到了类似的模式,以及母亲对患有 ADHD 的孩子的烦躁程度。讨论了研究结果的治疗意义。