Yazici Esra, Yürümez Esra, Yazici Ahmet Bülent, Gümüş Yusuf Yasin, Erol Atila
Department of Psychiatry, Sakarya University School of Medicine, Sakarya, Turkey.
Department of Psychiatry, Division of Child and Adolescent Psychiatry, Ufuk University School of Medicine, Ankara, Turkey.
Noro Psikiyatr Ars. 2017 Jun;54(2):149-154. doi: 10.5152/npa.2016.12693. Epub 2017 Jun 1.
The objective of this study was to investigate affective temperaments of parents of children with ADHD and the relationship between ADHD and affective temperaments.
The children diagnosed with ADHD were evaluated with a structured interview and the Turgay DSM-IV-Based Child and Adolescent Disruptive Behavioral Disorders Screening and Rating Scale (T-DSM-IV-S) was filled by parents. Then parents were evaluated by a structured clinical interview for DSM-IV (SCID-I), and those with no diagnosis of psychiatric disorder (in the past and at the time of the study) were included to the study. The Turkish version of the Temperament Evaluation of Memphis, Pisa, Paris and San Diego Auto-questionnaire was used to evaluate affective temperaments of parents. A control group of parents who has no children with ADHD was applied the same evaluation protocol.
The study was conducted with 123 parents (66 mothers, 57 fathers) of 66 children with ADHD and 119 control parents (65 mothers, 54 fathers) of 71 children without ADHD. Affective temperament scores of parents of children with ADHD were significantly higher than those of the control group. When the scores of mothers and fathers were compared separately, mothers had higher scores in all temperaments except hyperthymic temperament, and fathers had higher scores in all temperaments except anxious temperament in the ADHD group. Additionally, the T-DSM-IV-S attention deficit and hyperactivity/impulsivity scores of children were moderately correlated with most of the affective temperaments scores of their parents.
There is a relationship between ADHD and affective temperaments. Further studies are needed to understand the etiology, strength, and nature of this relationship.
本研究的目的是调查多动症患儿父母的情感气质以及多动症与情感气质之间的关系。
对被诊断为多动症的儿童进行结构化访谈,并由父母填写基于图尔盖《精神疾病诊断与统计手册》第四版的儿童和青少年破坏性行为障碍筛查与评定量表(T-DSM-IV-S)。然后通过针对《精神疾病诊断与统计手册》第四版的结构化临床访谈(SCID-I)对父母进行评估,将那些(在过去和研究时)未被诊断出患有精神疾病的父母纳入研究。使用孟菲斯、比萨、巴黎和圣地亚哥自动问卷气质评估的土耳其语版本来评估父母的情感气质。对一组没有多动症患儿的父母对照组应用相同的评估方案。
该研究对66名多动症患儿的123名父母(66名母亲,57名父亲)和71名非多动症患儿的119名对照父母(65名母亲,54名父亲)进行。多动症患儿父母的情感气质得分显著高于对照组。当分别比较母亲和父亲的得分时,在多动症组中,除了环性气质外,母亲在所有气质方面得分更高,除了焦虑气质外,父亲在所有气质方面得分更高。此外,儿童的T-DSM-IV-S注意力缺陷和多动/冲动得分与他们父母的大多数情感气质得分呈中度相关。
多动症与情感气质之间存在关联。需要进一步研究以了解这种关联的病因、强度和性质。