Parvaresh Nooshin, Mazhari Shahrzad, Mohamadi Neda, Mohamadi Najmeh
Associate Professor, Neurology Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Associate Professor, Neuroscience Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Addict Health. 2016 Winter;8(1):41-8.
Attention deficit hyperactivity disorder (ADHD) affects 5% of children. In addition to pharmacotherapy, non-drug treatments such as appropriate parenting are also very important in the treatment of these children. Diagnosis and treatment of parents with psychiatric disorders and substance abuse and evaluation of the frequency of these disorders in parents is critical.
In this case-control study, 200 parents were studied. The target population included parents of 7 to 12 year-old children who referred to child and adolescent psychiatric clinics. The control group included parents of children who referred to child non-psychiatric clinics. The parents were evaluated via a demographic information form, and structured interviews based on the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) for nicotine and drug addiction. Then, the Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Depression Rating Scale (HDRS) was used to assess their anxiety and depression.
Among the studied parents, the comparison of drug abuse, smoking, and stress showed significant differences between the two groups. In terms of depression and ADHD, the difference between the case and control groups was not statistically significant.
The higher prevalence of these disorders in parents of children with ADHD may indicate the possible role of this disorder in the etiology.
注意缺陷多动障碍(ADHD)影响5%的儿童。除药物治疗外,诸如适当养育等非药物治疗在这些儿童的治疗中也非常重要。对患有精神疾病和药物滥用的父母进行诊断和治疗,并评估这些疾病在父母中的发生率至关重要。
在这项病例对照研究中,对200名父母进行了研究。目标人群包括转诊至儿童和青少年精神科诊所的7至12岁儿童的父母。对照组包括转诊至儿童非精神科诊所的儿童的父母。通过人口统计学信息表以及基于《精神疾病诊断与统计手册》第四版(DSM-IV)对尼古丁和药物成瘾进行的结构化访谈对父母进行评估。然后,使用汉密尔顿焦虑评定量表(HAM-A)和汉密尔顿抑郁评定量表(HDRS)评估他们的焦虑和抑郁情况。
在所研究的父母中,两组在药物滥用、吸烟和压力方面的比较显示出显著差异。在抑郁和ADHD方面,病例组和对照组之间的差异无统计学意义。
ADHD儿童的父母中这些疾病的较高患病率可能表明该疾病在病因学中的潜在作用。