青少年中伴有和不伴有持续性注意缺陷多动障碍的母亲养育方式和母子关系。
Maternal parenting styles and mother-child relationship among adolescents with and without persistent attention-deficit/hyperactivity disorder.
机构信息
Department of Psychiatry, National Taiwan University Hospital and College of Medicine, No. 7, Chung-Shan South Road, Taipei 10002, Taiwan.
出版信息
Res Dev Disabil. 2013 May;34(5):1581-94. doi: 10.1016/j.ridd.2013.02.002. Epub 2013 Mar 5.
We investigated mothering and mother-child interactions in adolescents with and without persistent attention-deficit/hyperactivity disorder (ADHD) in a sample of 190 adolescents with persistent DSM-IV ADHD, 147 without persistent ADHD, and 223 without ADHD. Both participants and their mothers received psychiatric interviews for diagnosis of ADHD and other mental disorders; and reported on the Parental Bonding Instrument about mother's parenting style, the Social Adjustment Inventory for Children and Adolescents for interactions with mothers and home behavioral problems. The mothers also reported on their ADHD and neurotic/depressive symptoms. Our results based on both informants showed that both ADHD groups obtained less affection/care and more overprotection and control from the mothers, and perceived less family support than those without ADHD. Child's inattention and comorbidity, and maternal depression were significantly correlated with decreased maternal affection/care and increased maternal controls; child's hyperactivity-impulsivity and maternal neurotic trait were significantly correlated with maternal overprotection; and child's inattention and comorbidity, and maternal neurotic/depressive symptoms were significantly correlated with impaired mother-child interactions and less family support. Our findings suggested that, regardless of persistence, childhood ADHD diagnosis, particularly inattention symptoms and comorbidity, combining with maternal neurotic/depressive symptoms was associated with impaired maternal process.
我们在一个包括 190 名患有持续 DSM-IV 注意力缺陷多动障碍(ADHD)的青少年、147 名没有持续 ADHD 的青少年和 223 名没有 ADHD 的青少年的样本中,调查了患有和不患有持续性注意力缺陷多动障碍(ADHD)的青少年的母亲养育方式和母婴互动。研究对象及其母亲均接受了关于 ADHD 和其他精神障碍的精神病学访谈;并报告了亲子关系量表,用于评估母亲的养育方式,儿童青少年社会适应量表,用于评估与母亲的互动和家庭行为问题。母亲还报告了她们的 ADHD 和神经质/抑郁症状。我们基于两个信息来源的结果表明,两个 ADHD 组都从母亲那里获得较少的关爱/关心,更多的过度保护和控制,并且比没有 ADHD 的青少年感知到较少的家庭支持。孩子的注意力不集中和共病,以及母亲的抑郁,与减少母亲的关爱/关心和增加母亲的控制显著相关;孩子的多动冲动和母亲的神经质特质与母亲的过度保护显著相关;孩子的注意力不集中和共病,以及母亲的神经质/抑郁症状与受损的母婴互动和较少的家庭支持显著相关。我们的研究结果表明,无论是否持续,儿童 ADHD 诊断,特别是注意力不集中症状和共病,加上母亲的神经质/抑郁症状,与受损的母亲过程有关。