University of Alabama at Birmingham, Birmingham, AL, USA.
Department of Psychology, University of Alabama, PO Box 870161, Tuscaloosa, AL, 35487-0061, USA.
Child Psychiatry Hum Dev. 2020 Oct;51(5):813-826. doi: 10.1007/s10578-020-01019-z.
Emotional/behavioral concerns are common among children with ADHD. Familial factors (e.g., parental adjustment, parenting behaviors) are linked to the presence of comorbid internalizing/externalizing symptoms among children with ADHD. The purpose of the present study was to evaluate a model that includes multiple familial variables and their direct and indirect effects on child emotional and behavioral problems among children with ADHD. Participants included parents of children (6-12 years of age; M = 8.87, SD = 1.92) with a diagnosis of ADHD (N = 300). Participants completed measures of child emotional/behavioral concerns, parental distress, routines, and parenting behaviors. Path analyses revealed direct effects for parental distress, parent behavior and routines on child adjustment, after controlling for the other variables. A significant indirect relation between parental distress, routines, and externalizing behavior was observed. These findings highlight one specific path through which parental distress appears to influence specific behavioral concerns that are commonly observed in children with ADHD.
注意缺陷多动障碍儿童常见情绪/行为问题。家庭因素（例如，父母适应，养育行为）与注意缺陷多动障碍儿童共患内化/外化症状的存在有关。本研究的目的是评估一个包含多个家庭变量及其对注意缺陷多动障碍儿童情绪和行为问题的直接和间接影响的模型。参与者包括患有注意缺陷多动障碍（ADHD）的儿童（6-12 岁；M = 8.87，SD = 1.92）的父母（N = 300）。参与者完成了儿童情绪/行为问题、父母困扰、日常活动和养育行为的测量。路径分析显示，在控制其他变量后，父母困扰、父母行为和日常活动对儿童适应有直接影响。父母困扰、日常活动和外化行为之间存在显著的间接关系。这些发现强调了父母困扰影响注意缺陷多动障碍儿童常见特定行为问题的一种特定途径。
