Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University College of Medicine, Seoul, Republic of Korea.
Department of Social Welfare, Induk University, Seoul, Republic of Korea.
Psychiatry Investig. 2014 Apr;11(2):124-30. doi: 10.4306/pi.2014.11.2.124. Epub 2014 Apr 11.
People with attention-deficit/hyperactivity disorder (ADHD) exhibit considerable impairment in social, academic, or occupational functioning. The present study aimed to examine the patterns of associations between ADHD symptoms, depression, and family functioning.
The sample consisted of 1,022 adults randomly selected from a district in Seoul, South Korea. Several self-assessment scales were utilized to rate ADHD symptoms (both past and current), current symptoms of depression, and level of family functioning. ADHD symptoms in the children of these participants were also assessed. Pearson's correlation and multiple linear regression analyses were performed; structural equation modeling (SEM) was conducted to determine the best fitting model.
Adult ADHD symptoms were positively associated with depressive symptoms. Depressive symptoms, in turn, mediated the relationship between adult ADHD symptoms and cohesion among family members. In addition, depressive symptoms mediated the relationship between adult ADHD symptoms and their children's ADHD symptoms.
The relationship between adult ADHD symptoms and family dysfunction may be influenced by depressive symptoms. When treating ADHD in adults, clinicians should pay attention to the presence or absence of depression.
患有注意缺陷多动障碍(ADHD)的人在社交、学业或职业功能方面存在相当大的障碍。本研究旨在探讨 ADHD 症状、抑郁和家庭功能之间的关联模式。
该样本由韩国首尔一个区随机抽取的 1022 名成年人组成。使用了几种自我评估量表来评估 ADHD 症状(过去和现在)、当前的抑郁症状和家庭功能水平。还评估了这些参与者的孩子的 ADHD 症状。进行了 Pearson 相关和多元线性回归分析;结构方程建模(SEM)用于确定最佳拟合模型。
成人 ADHD 症状与抑郁症状呈正相关。抑郁症状反过来又在成人 ADHD 症状与家庭成员之间的凝聚力之间起中介作用。此外,抑郁症状在成人 ADHD 症状与其孩子的 ADHD 症状之间起中介作用。
成人 ADHD 症状与家庭功能障碍之间的关系可能受到抑郁症状的影响。在治疗成人 ADHD 时,临床医生应注意是否存在抑郁症状。