患有注意力缺陷多动障碍的青少年及其兄弟姐妹的母子关系。
Mother-Child Relationship in Youths with Attention-Deficit Hyperactivity Disorder and their Siblings.
作者信息
Chang Jane Pei-Chen, Gau Susan Shur-Fen
机构信息
Department of Psychological Medicine, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
Department of Psychiatry, China Medical University Hospital, Taichung, Taiwan.
出版信息
J Abnorm Child Psychol. 2017 Jul;45(5):871-882. doi: 10.1007/s10802-016-0218-9.
Despite impaired mother-child interactions noted in youth with attention-deficit/hyperactivity disorder (ADHD), there is no such information for their siblings. This study aimed to test whether the affected and unaffected siblings, like youth with ADHD, also encountered impaired mothering and mother-child relationships as compared to typically developing youth (TD). The sample consisted of 122 probands (107 males, 87.7 %), aged 10-16, with DSM-IV ADHD, 44 affected (26 males, 59.1 %) and 78 unaffected (28 males, 35.9 %) siblings, and 122 TD youth. Both participants and their mothers received psychiatric interviews (K-SADS-E) about the participants and reported maternal parenting style, mother-child interactions and child behavioral problems at home. Based on both reports, probands with ADHD and affected siblings (only youth report) had more impaired relationships, more behavioral problems at home, and less perceived family support than unaffected siblings and TD youth. Probands with ADHD had higher maternal authoritarian control than unaffected siblings. The findings suggest that impaired mothering, mother-child interactions, and family support are related to the presence of ADHD diagnosis in both probands and their affected siblings.
尽管在患有注意力缺陷多动障碍(ADHD)的青少年中发现了母婴互动受损的情况,但关于他们的兄弟姐妹却没有此类信息。本研究旨在测试与发育正常的青少年(TD)相比,ADHD患儿及其未患病的兄弟姐妹是否也存在养育方式受损以及母婴关系受损的情况。样本包括122名符合《精神疾病诊断与统计手册》第四版(DSM-IV)ADHD诊断标准的先证者(107名男性,占87.7%),年龄在10至16岁之间,44名患病的(26名男性,占59.1%)和78名未患病的(28名男性,占35.9%)兄弟姐妹,以及122名发育正常的青少年。参与者及其母亲都接受了关于参与者的精神科访谈(K-SADS-E),并报告了母亲的养育方式、母婴互动以及孩子在家中的行为问题。根据两份报告,患有ADHD的先证者和患病的兄弟姐妹(仅青少年报告)与未患病的兄弟姐妹及发育正常的青少年相比,关系受损更严重,在家中行为问题更多,感受到的家庭支持更少。患有ADHD的先证者比未患病的兄弟姐妹受到母亲的专制控制更多。研究结果表明,养育方式受损、母婴互动以及家庭支持与先证者及其患病的兄弟姐妹中ADHD诊断的存在有关。