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ADHD 患儿中有韧性儿童吗?

Are There Resilient Children with ADHD?

机构信息

Florida State University, Tallahassee, USA.

University of British Columbia, Vancouver, Canada.

出版信息

J Atten Disord. 2022 Mar;26(5):643-655. doi: 10.1177/10870547211025629. Epub 2021 Jun 24.

Abstract

OBJECTIVE

The adverse outcomes associated with ADHD are well known, but less is known about the minority of children with ADHD who may be flourishing despite this neurodevelopmental risk. The present multi-informant study is an initial step in this direction with the basic but unanswered question:

METHOD

Reliable change analysis of the BASC-3 Resiliency subscale for a clinically evaluated sample of 206 children with and without ADHD (ages 8-13; 81 girls; 66.5% White/Non-Hispanic).

RESULTS

Most children with ADHD are perceived by their parents and teachers as resilient (52.8%-59.2%), with rates that did not differ from the comorbidity-matched Non-ADHD sample.

CONCLUSION

Exploratory analyses highlighted the importance of identifying factors that promote resilience for children with ADHD specifically, such that some child characteristics were promotive (associated with resilience for both groups), some were protective (associated with resilience only for children with ADHD), and some were beneficial only for children without ADHD.

摘要

目的

众所周知,ADHD 相关的不良后果,但鲜少有人关注到,尽管存在神经发育风险,仍有少数 ADHD 患儿可能表现出色。本多信息源研究针对这一方向迈出了初步的探索性步伐,提出了一个基本但尚未解答的问题:

方法

对 206 名 ADHD 患儿和非 ADHD 患儿(年龄 8-13 岁;女孩 81 名;59.2%为白种人/非西班牙裔)进行 BASC-3 弹性分量表的可靠变化分析。

结果

大多数 ADHD 患儿被其父母和老师认为具有弹性(52.8%-59.2%),其比率与伴有共病的非 ADHD 样本无差异。

结论

探索性分析强调了确定促进 ADHD 患儿弹性的因素的重要性,例如,一些儿童特征具有促进作用(与两组的弹性相关),一些具有保护作用(仅与 ADHD 患儿的弹性相关),而一些仅对无 ADHD 患儿有益。

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