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利用疾病认知模型探索儿童对 ADHD 的认知和应对方式。

Utilizing the Common-Sense model of illness representations to explore children's perceptions of, and coping with ADHD.

机构信息

Department of Education, Stockholm University, Stockholm, Sweden.

出版信息

J Ment Health. 2021 Apr;30(2):216-223. doi: 10.1080/09638237.2020.1714010. Epub 2020 Jan 30.

Abstract

BACKGROUND

Attention Deficit Hyperactivity Disorder (ADHD) among children is associated with difficulties in everyday functioning. According to the Common-Sense Model of Illness Representations (CSM), individuals' beliefs about their illness condition guide their attempts to cope with it. The model suggests five dimensions of illness representations: beliefs regarding the identity of the symptoms, its duration, causes, consequences, and one's ability to achieve control over it.

AIMS

The study aimed to explore the validity of the CSM-dimensions of illness representations for children with ADHD, while also exploring the possible relationships between types of beliefs and coping strategies.

METHOD

A deductive qualitative content analysis was used for analyzing data constructed from semi-structured individual interviews with 14 children diagnosed with ADHD.

RESULTS

The results have shown that there is a variation in children's beliefs regarding their ADHD. Those beliefs are, for the most part, captured by the five CSM-dimensions. An additional dimension of 'Uniqueness' is suggested, which reflects children's beliefs on the way ADHD distinguishes them from other children. Patterns regarding types of beliefs and types of coping strategies were identified.

CONCLUSIONS

The CSM is a useful theoretical model to understand children's beliefs of, and coping with their ADHD.

摘要

背景

儿童注意缺陷多动障碍(ADHD)与日常功能障碍有关。根据疾病认知模式(CSM),个体对疾病状况的信念指导他们试图应对疾病的方式。该模型提出了疾病认知的五个维度:对症状的特征、持续时间、病因、后果以及对控制疾病的能力的信念。

目的

本研究旨在探讨疾病认知模式维度对 ADHD 儿童的有效性,同时探讨不同类型的信念与应对策略之间的可能关系。

方法

采用演绎定性内容分析法,对 14 名被诊断为 ADHD 的儿童进行半结构化个体访谈所构建的数据进行分析。

结果

研究结果表明,儿童对 ADHD 的信念存在差异。这些信念在很大程度上可以用 CSM 的五个维度来捕捉。此外,还提出了一个“独特性”维度,反映了儿童对 ADHD 使他们与其他儿童区别开来的方式的信念。还确定了信念类型和应对策略类型的模式。

结论

CSM 是一个有用的理论模型,可以帮助理解儿童对 ADHD 的信念和应对方式。

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