Flouri Eirini, Midouhas Emily, Ruddy Alexandra, Moulton Vanessa
Department of Psychology and Human Development, UCL Institute of Education, University College London, 25 Woburn Square, London, WC1H 0AA, UK.
Eur Child Adolesc Psychiatry. 2017 Jun;26(6):723-732. doi: 10.1007/s00787-017-0940-z. Epub 2017 Jan 7.
Previous research shows that, compared to children without ADHD, children with ADHD have worse socio-emotional outcomes and more experience of socio-economic disadvantage. In this study, we explored if and how the increased emotional and behavioural difficulties faced by children with ADHD may be accounted for by their more disadvantaged socio-economic circumstances. Our study, using data from 180 children (149 boys) with ADHD from the Millennium Cohort Study, had two aims. First, to examine the role of socio-economic disadvantage in the trajectories of emotional and conduct problems in children with ADHD at ages 3, 5, 7 and 11 years. Second, to explore the roles of the home environment (household chaos) and parenting (quality of emotional support, quality of the parent-child relationship and harsh parental discipline) in mediating any associations between socio-economic disadvantage and child emotional and conduct problems. Using growth curve models, we found that socio-economic disadvantage was associated with emotional and conduct problems but neither the home environment nor parenting attenuated this association. Lower quality of the parent-child relationship and harsher discipline were associated with more conduct problems. It appears that socio-economic disadvantage and parenting contribute independently to the prediction of comorbid psychopathology in children with ADHD.
先前的研究表明，与没有注意力缺陷多动障碍（ADHD）的儿童相比，患有ADHD的儿童在社会情感方面的表现更差，且更多地经历社会经济劣势。在本研究中，我们探讨了ADHD儿童所面临的日益增加的情绪和行为困难是否以及如何可由他们更不利的社会经济状况来解释。我们的研究使用了来自千禧队列研究中180名患有ADHD的儿童（149名男孩）的数据，有两个目的。第一，研究社会经济劣势在3岁、5岁、7岁和11岁的ADHD儿童情绪和行为问题轨迹中的作用。第二，探讨家庭环境（家庭混乱）和养育方式（情感支持质量、亲子关系质量以及严厉的父母管教）在调节社会经济劣势与儿童情绪和行为问题之间的任何关联中所起的作用。使用生长曲线模型，我们发现社会经济劣势与情绪和行为问题相关，但家庭环境和养育方式均未减弱这种关联。较低质量的亲子关系和更严厉的管教与更多的行为问题相关。看来社会经济劣势和养育方式在预测ADHD儿童的共病心理病理学方面各自独立起作用。
