Chu Kangkang, Li Shasha, Chen Yixin, Wang Mingchun
Child Mental Health Research Center, Nanjing Brain Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, China.
The Fourth Clinical Hospital, Nanjing Medical University, Nanjing, Jiangsu Province, China.
Shanghai Arch Psychiatry. 2012 Oct;24(5):279-85. doi: 10.3969/j.issn.1002-0829.2012.05.005.
Development of adjunctive family therapy for the treatment of children with Attention Deficit Hyperactivity Disorder (ADHD) in China requires a detailed understanding of the family dynamics of these families.
Assess the family dynamics of families with children who have ADHD in Nanjing, China.
Forty-six children 10 to 17 years of age treated at the Nanjing Brain Hospital for ADHD and 46 control children of the same age and gender from schools in Nanjing completed the 19-item Questionnaire of Systematic Family Dynamics (QSFD) which assesses four dimensions of family functioning: Family Atmosphere, Individuation, Moral Absolutism, and Personal Responsibility for Psychological Problems.
There were no differences between groups in the perceived causes of psychological problems but the ADHD children reported a poorer family atmosphere, less independence from parents, and more ambiguity about 'right' and 'wrong' in the family. After adjustment for the potential confounding effects of parental education and family economic status, the findings of poorer family atmosphere and less individuation in the ADHD children remained statistically significant. The internal consistency of the four dimensions of the QSFD as completed by the children were poor (alpha=0.44-0.53).
This preliminary study on the family dynamics of families with children that have ADHD finds that the ADHD children report a poor family atmosphere and little independence from parents. Further work is needed to validate the methods for assessing family dynamics in Chinese families, particularly when using children as informants, but this method provides valuable information that could be used as the focus of adjunctive family therapy to augment the traditional pharmacological and behavioral approaches to the treatment of ADHD.
在中国，开发用于治疗注意力缺陷多动障碍（ADHD）儿童的辅助家庭疗法需要详细了解这些家庭的家庭动态。
评估中国南京患有ADHD儿童的家庭的家庭动态。
46名在南京脑科医院接受ADHD治疗的10至17岁儿童以及46名来自南京学校的同龄且同性别的对照儿童完成了19项家庭系统动力学问卷（QSFD），该问卷评估家庭功能的四个维度：家庭氛围、个性化、道德绝对主义以及对心理问题的个人责任。
两组在心理问题的感知原因方面没有差异，但ADHD儿童报告家庭氛围较差，与父母的独立性较低，并且对家庭中“对”与“错”的界定更模糊。在调整了父母教育程度和家庭经济状况的潜在混杂效应后，ADHD儿童家庭氛围较差和个性化程度较低的结果在统计学上仍然显著。儿童完成的QSFD四个维度的内部一致性较差（α=0.44 - 0.53）。
这项关于患有ADHD儿童的家庭动态的初步研究发现，ADHD儿童报告家庭氛围较差且与父母的独立性较低。需要进一步开展工作来验证评估中国家庭家庭动态的方法，特别是在使用儿童作为信息提供者时，但这种方法提供了有价值的信息，可作为辅助家庭疗法的重点，以增强治疗ADHD的传统药物和行为方法。
