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注意力缺陷多动障碍对儿童虐待与忽视的影响。

Effects of attention-deficit/hyperactivity disorder on child abuse and neglect.

作者信息

Sari Gokten Emel, Saday Duman Nagihan, Soylu Nusret, Uzun Mehmet Erdem

机构信息

Yuksek Ihtisas Training ve Research Hospital, Bursa, Child and Adolescent Psychiatry, Turkey.

Afyon Public Hospital, Afyon, Child and Adolescent Psychiatry, Turkey.

出版信息

Child Abuse Negl. 2016 Dec;62:1-9. doi: 10.1016/j.chiabu.2016.10.007. Epub 2016 Oct 19.

Abstract

It is known that children with mental and developmental problems are at risk of abuse and neglect. Attention-deficit/hyperactivity disorder is one of the most frequent neurodevelopmental disorders in children and adolescents. The purpose of this study is to examine whether children diagnosed with ADHD are under more risk in terms of child abuse and neglect compared to controls. In this case-control study, 104 children, who applied to Child and Adolescent Psychiatry Unit of Bursa Yuksek Ihtisas Training and Research Hospital between January and June 2015, were diagnosed with ADHD, and had no other psychiatric comorbidity except for disruptive behavior disorders, and 104 healthy children were compared. Abuse Assessment Questionnaire was applied to children after approval of the families was received. It was determined that the children diagnosed with ADHD were exposed to more physical (96.2%) and emotional abuse (87.5%) in a statistically significant way compared to controls (46.2%; 34.6%), they were exposed to physical and emotional neglect (5.8%) at a lower rate compared to healthy children (24.0%), and there was no difference between them and healthy children in terms of witnessing family violence (56.7%; 47.1%) and being exposed to sexual abuse (5.8%; 1.9%). The children diagnosed with ADHD were exposed to physical and emotional abuse at a higher rate; further studies should emphasize the role of parents in this topic and how parental education and treatment programs change the results.

摘要

众所周知,患有精神和发育问题的儿童面临虐待和忽视的风险。注意力缺陷/多动障碍是儿童和青少年中最常见的神经发育障碍之一。本研究的目的是检验与对照组相比,被诊断为注意力缺陷多动障碍(ADHD)的儿童在遭受虐待和忽视方面是否面临更高的风险。在这项病例对照研究中,对2015年1月至6月期间前往布尔萨尤克伊蒂萨斯培训和研究医院儿童及青少年精神病科就诊的104名被诊断为ADHD且除破坏性行为障碍外无其他精神疾病合并症的儿童,与104名健康儿童进行了比较。在获得家长同意后,对儿童应用了虐待评估问卷。结果发现,与对照组(46.2%;34.6%)相比,被诊断为ADHD的儿童遭受身体虐待(96.2%)和情感虐待(87.5%)的比例在统计学上有显著差异,与健康儿童(24.0%)相比,他们遭受身体和情感忽视的比例较低(5.8%),在目睹家庭暴力(56.7%;47.1%)和遭受性虐待方面((5.8%;1.9%)与健康儿童之间没有差异。被诊断为ADHD的儿童遭受身体和情感虐待的比例更高;进一步的研究应强调父母在这一问题中的作用,以及父母教育和治疗方案如何改变结果。

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