Harris Abbey N, Stoppelbein Laura, Greening Leilani, Becker Stephen P, Luebbe Aaron, Fite Paula
Department of Psychology, University of Alabama at Birmingham, 1300 University Dr, Birmingham, AL, 35294, USA.
Child Psychiatry Hum Dev. 2014;45(2):243-53. doi: 10.1007/s10578-013-0396-4.
Attention deficit hyperactivity disorder (ADHD) is one of the most common disorders of childhood, and the presence of comorbid externalizing and internalizing symptoms often result in severe negative long-term consequences. Multiple etiological factors contribute to the development of co-occurring symptoms. Family stability and consistency appear to be particularly important in effectively managing behavioral concerns. One important factor in producing consistency and stability is the use of routines. The current study examined how routines may be related to internalizing/externalizing symptoms in a clinical sample (N = 371) of children with ADHD (M age = 9.13, SD = 1.96; 77% male). After controlling for child age, gender, and parental adjustment, routines predicted both internalizing and externalizing symptoms. Specific subtypes of routines including Household, Discipline, and Homework Routines were found to significantly predict symptomatology. A positive relation was found between parental and child adjustment problems; however, support for routines moderating the relation between parent and child adjustment was not supported.
注意缺陷多动障碍（ADHD）是儿童期最常见的疾病之一，共病的外化症状和内化症状往往会导致严重的长期负面后果。多种病因导致了共病症状的发展。家庭稳定性和一致性在有效管理行为问题方面似乎尤为重要。产生一致性和稳定性的一个重要因素是日常惯例的使用。本研究调查了日常惯例与多动症临床样本（N = 371）中内化/外化症状之间的关系（平均年龄 = 9.13，标准差 = 1.96；77%为男性）。在控制了儿童年龄、性别和父母适应情况后，日常惯例能够预测内化症状和外化症状。研究发现，日常惯例的特定子类型，包括家庭、纪律和家庭作业惯例，能够显著预测症状表现。父母和孩子的适应问题之间存在正相关；然而，日常惯例对父母与孩子适应关系的调节作用未得到支持。
