Sfelinioti S, Livaditis M
Clinic of Child and Adolescent Psychiatry, Ippokratio General Hospital Thessaloniki, Τhessaloniki.
Department of Psychiatry, Medical School, Democritus University of Thrace, Alexandroupoli, Greece.
Psychiatriki. 2017 Jul-Sep;28(3):251-258. doi: 10.22365/jpsych.2017.283.251.
Family problems are considered to be the main risk factor leading to the development of behavi oural problems during childhood and adolescence as well. A well documented fact in the current literature is that psychopathology of any kind in parents may influence behaviour, personality and appearance of psychopathology in their children. The permanent interaction between children's psychopathology or any kind of developmental disorder on one hand and parental psychopathology on the other, is considered to be one of the most important fields of research during the last decades. The aim of the present study was to review research concerning the relationship between maternal depressive disorder and children's attention deficit hyperactivity disorder (ADHD) among members of the same family, the influence that each disorder has in the appearance and development of the other, and the way that the mother-child relationship is influenced by both. We conducted an electronic search through PubMed to detect articles concerning the association of maternal depressive disorder and children's ADHD among the members of the same family published in English from January 1980 to December 2015. The choice was strictly limited to articles concerning exclusively emotional disorders in mothers and ADHD in their children. This process concluded with the electronic research of bibliographic citations of the identified articles, or related articles, in order to locate additional sources. Considering as a fact the interaction between this developmental disorder, ADHD, and mother's psychological profile which is maternal depression for the present research, we report the following: among the 27 articles found, 24 concerned the influence of the mother's depression to the child's ADHD, and the remaining 3 concerned their genetic association. There were important limitations found as well. Despite the fact that all the studies included a control group, many of them did have a follow-up and were short-term studies. Their results were mostly heterogenous and therefore their meta-analysis proved impossible. There was evidence concerning the association between the two disorders as both maternal depressive disorder and children's ADHD influence each other through multiple psychosocial and biological factors. Nevertheless, more data is needed from well structured, homogenous studies, especially in the field of genetics, in order to document this association.
家庭问题被认为是导致儿童期和青少年期行为问题发展的主要风险因素。当前文献中一个有充分记录的事实是，父母任何形式的精神病理学都可能影响其子女的行为、个性和精神病理学表现。儿童的精神病理学或任何一种发育障碍与父母的精神病理学之间的长期相互作用，被认为是过去几十年中最重要的研究领域之一。本研究的目的是回顾关于同一家庭成员中母亲抑郁障碍与儿童注意力缺陷多动障碍（ADHD）之间关系的研究，每种障碍对另一种障碍的出现和发展的影响，以及母子关系受两者影响的方式。我们通过PubMed进行了电子检索，以查找1980年1月至2015年12月以英文发表的关于同一家庭成员中母亲抑郁障碍与儿童ADHD关联的文章。选择严格限于专门涉及母亲情绪障碍及其子女ADHD的文章。这个过程以对已识别文章或相关文章的文献引用进行电子检索结束，以便找到更多来源。考虑到这种发育障碍ADHD与母亲心理状况（在本研究中为母亲抑郁）之间的相互作用这一事实，我们报告如下：在找到的27篇文章中，24篇涉及母亲抑郁对儿童ADHD的影响，其余3篇涉及它们的遗传关联。也发现了重要的局限性。尽管所有研究都包括一个对照组，但其中许多研究没有随访且是短期研究。它们的结果大多异质性较大，因此无法进行荟萃分析。有证据表明这两种障碍之间存在关联，因为母亲抑郁障碍和儿童ADHD都通过多种心理社会和生物学因素相互影响。然而，需要来自结构良好、同质性研究的更多数据，特别是在遗传学领域，以便证明这种关联。
