Hart Katie C, Ros Rosmary, Gonzalez Victoria, Graziano Paulo A
Department of Psychology, Center for Children and Families, Florida International University, Miami, FL, 33199, USA.
Child Psychiatry Hum Dev. 2018 Feb;49(1):155-162. doi: 10.1007/s10578-017-0737-9.
This study sought to examine parent perceptions of medication use for 151 preschool children (M = 5.05 years, 78% male, 82% Hispanic/Latino) with or at-risk for ADHD who were medication naive. Parents completed questionnaires regarding family background and perceptions of medication treatment. Parents and teachers completed ratings of child diagnostic symptomatology, behavioral functioning, and functional impairment. Results indicate that only 45% of parents were open to the possibility of medication. No associations were found between child demographics, severity of ADHD symptoms, or level of functional impairment and parental openness to medication. On the other hand, children of parents who were open to medication tended to have higher levels of oppositionality and aggression (as reported by parents but not teachers) compared with children of parents who were not open to medication. These findings are discussed in the context of early intervention given their implications for a variety of treatment providers.
本研究旨在调查151名未使用过药物治疗的、患有多动症或有患多动症风险的学龄前儿童（平均年龄M = 5.05岁，78%为男性，82%为西班牙裔/拉丁裔）的家长对药物治疗的看法。家长们填写了关于家庭背景和药物治疗看法的问卷。家长和教师对儿童的诊断症状、行为功能和功能损害进行了评分。结果表明，只有45%的家长愿意考虑药物治疗。在儿童人口统计学特征、多动症症状严重程度或功能损害水平与家长对药物治疗的接受程度之间未发现关联。另一方面，与不愿意接受药物治疗的家长的孩子相比，愿意接受药物治疗的家长的孩子往往具有更高水平的对立性和攻击性（家长报告但教师未报告）。鉴于这些发现对各类治疗提供者的影响，我们在早期干预的背景下对其进行了讨论。
