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[养育方式与注意力缺陷多动障碍症状之间的关联]

[Association Between Parenting Styles and Symptoms of Attention Deficit Hyperactivity Disorder].

作者信息

Çöp Esra, Çengel Kültür S Ebru, Şenses Dinç Gülser

出版信息

Turk Psikiyatri Derg. 2017 Spring;28(1):25-32.

Abstract

OBJECTIVE

We aimed to study characteristics of child and mother reported parenting styles of children with Attention Deficit Hyperacitivity Disorder (ADHD) and association of parenting styles of mothers with demographic and clinical variables like ADHD symptoms, sex, age, ADHD subtype, and comorbidity.

METHOD

58 children with ADHD and 30 healthy children were included in this study. All children were assessed by The Schedule for Affective Disorders and Schizophrenia for School Aged Children- Present and Lifetime Version. ADHD symptom severity was assessed by The Conners Parent Rating Scale and The Conners Teacher Rating Scale. The Parenting Style Inventory (PSI) and The Parental Attitude Research Instrument (PARI) were used to assess parenting styles of mothers.

RESULTS

ADHD group had lower scores on two subscales of PSI (acceptance/involvement and strictness/supervision) and democratic attitude and equality subscale of PARI and higher scores on strict discipline subscale of PARI compared to control group. In ADHD group, higher symptoms of oppositional defiant disorder were associated with higher mother's strict discipline scores and lower child reported mother's acceptance/involvement scores.

CONCLUSION

Our findings supported the idea that there may be an association between parenting attitudes and ADHD symptoms in families having a child with ADHD. These results indicated the importance of integrated approach to ADHD diagnosis and treatment and evaluating the child with ADHD in the context of family environment.

摘要

目的

我们旨在研究患有注意力缺陷多动障碍(ADHD)儿童及其母亲报告的养育方式特点,以及母亲的养育方式与人口统计学和临床变量(如ADHD症状、性别、年龄、ADHD亚型和共病情况)之间的关联。

方法

本研究纳入了58名患有ADHD的儿童和30名健康儿童。所有儿童均通过《学龄儿童情感障碍和精神分裂症量表(现患及终生版)》进行评估。ADHD症状严重程度通过《康纳斯父母评定量表》和《康纳斯教师评定量表》进行评估。使用《养育方式量表》(PSI)和《父母态度研究工具》(PARI)来评估母亲的养育方式。

结果

与对照组相比,ADHD组在PSI的两个子量表(接纳/参与和严格/监督)以及PARI的民主态度和平等子量表上得分较低,而在PARI的严格纪律子量表上得分较高。在ADHD组中,对立违抗障碍的较高症状与母亲的严格纪律得分较高以及儿童报告的母亲接纳/参与得分较低相关。

结论

我们的研究结果支持这样一种观点,即在有ADHD儿童的家庭中,养育态度与ADHD症状之间可能存在关联。这些结果表明了综合方法对ADHD诊断和治疗以及在家庭环境背景下评估ADHD儿童的重要性。

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