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母亲的附属耻辱感和孩子的症状对 ADHD 儿童母亲的困扰的作用。

The role of mothers' affiliate stigma and child's symptoms on the distress of mothers with ADHD children.

机构信息

a Laboratoire de Psychologie Sociale (LPS) , Aix-en-Provence , France.

b Université de Nîmes , Nîmes , France.

出版信息

J Ment Health. 2019 Jun;28(3):282-288. doi: 10.1080/09638237.2018.1521944. Epub 2018 Oct 25.

Abstract

BACKGROUND

Mothers of ADHD children often display high levels of distress. Understanding the origin of such distress in a view to reducing it is an essential part of the clinical management of ADHD children. Studies have shown that children's symptoms are linked to mothers' stigma and that such stigma can cause mothers' distress. However, no study has explored the links between symptoms, stigma and distress.

AIM

We tested (1) whether children's symptoms are sources of affiliate stigma, which in turn contributes to generating mothers' distress and (2) whether such relationship is stronger in mothers of male ADHD children.

METHOD

159 French mothers of an ADHD child were recruited. Four indices were used to assess mothers' distress: anxiety, depression, self-esteem and life satisfaction. Children's ADHD symptoms and mothers' affiliate stigma were also measured and contrasted with distress.

RESULTS

Mothers' distress was positively related with both affiliate stigma and children's ADHD symptoms, but this was only true in mothers of male ADHD children. The relationship between children's symptoms and mothers' distress was mediated by affiliate stigma.

CONCLUSIONS

Psychosocial interventions in mothers of ADHD children must integrate affiliate stigma and should be adjusted according to child's gender.

摘要

背景

ADHD 儿童的母亲通常表现出较高水平的痛苦。了解这种痛苦的来源,以便减轻痛苦,是 ADHD 儿童临床管理的重要组成部分。研究表明,儿童的症状与母亲的污名有关,而这种污名会导致母亲的痛苦。然而,尚无研究探讨症状、污名和痛苦之间的联系。

目的

我们检验了(1)儿童的症状是否是附属污名的来源,而附属污名反过来又会导致母亲的痛苦,以及(2)这种关系在 ADHD 男童的母亲中是否更强。

方法

招募了 159 名法国 ADHD 儿童的母亲。使用四个指标来评估母亲的痛苦:焦虑、抑郁、自尊和生活满意度。还测量和对比了儿童的 ADHD 症状和母亲的附属污名与痛苦。

结果

母亲的痛苦与附属污名和儿童的 ADHD 症状呈正相关,但这种关系仅适用于 ADHD 男童的母亲。儿童症状与母亲痛苦之间的关系是由附属污名介导的。

结论

针对 ADHD 儿童的母亲的心理社会干预必须整合附属污名,并应根据儿童的性别进行调整。

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