Joseph Heather M, Kennedy Traci M, Gnagy Elizabeth M, Perlman Susan B, Pelham William E, Molina Brooke S G
Department of Psychiatry, University of Pittsburgh, 3811 O'Hara Street, Pittsburgh, PA, 15213, USA.
Department of Psychiatry, Florida International University, Miami, FL, USA.
Child Psychiatry Hum Dev. 2019 Feb;50(1):35-44. doi: 10.1007/s10578-018-0819-3.
Despite high heritability, no research has followed children with ADHD to parenthood to study their offspring and parenting behaviors. Given greater prevalence of ADHD in males and lack of research involving fathers, this study evaluated offspring of fathers with and without ADHD histories for ADHD and disruptive behavior and compared fathers' parenting behaviors. Male fathers (N = 29) from the Pittsburgh ADHD Longitudinal Study (PALS) participated with their preschool-aged offspring. Fathers completed self-reported measures, and father-child dyads completed an interaction task. ADHD offspring had elevated ADHD symptoms and behavior dysregulation. All fathers displayed positive parenting. ADHD fathers reported lower supportive responses to their child's negative emotions than comparison fathers, yet rated their parenting as more efficacious. ADHD offspring were distinguishable as early as age 3; thus, earlier diagnosis and intervention may be feasible for this at-risk population. Future research should investigate the acceptability and efficacy of parent training for fathers with ADHD.
尽管遗传度较高,但尚无研究追踪患有注意力缺陷多动障碍(ADHD)的儿童直至其为人父母,以研究他们的后代及养育行为。鉴于ADHD在男性中更为普遍,且缺乏涉及父亲的研究,本研究评估了有和没有ADHD病史的父亲的后代的ADHD及破坏性行为,并比较了父亲的养育行为。来自匹兹堡ADHD纵向研究(PALS)的男性父亲(N = 29)与其学龄前后代参与了研究。父亲们完成了自我报告测量,父子二元组完成了一项互动任务。ADHD后代的ADHD症状和行为失调有所增加。所有父亲都表现出积极的养育方式。与对照组父亲相比,患有ADHD的父亲对孩子负面情绪的支持性反应较低,但他们认为自己的养育方式更有效。ADHD后代早在3岁时就可被区分出来;因此,对这一高危人群进行早期诊断和干预可能是可行的。未来的研究应调查针对患有ADHD的父亲的家长培训的可接受性和有效性。