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考察 ADHD 症状和父母参与度对儿童学业成绩的影响。

Examining the effects of ADHD symptoms and parental involvement on children's academic achievement.

机构信息

Florida State University, Department of Psychology, United States.

Florida State University, Department of Psychology, United States.

出版信息

Res Dev Disabil. 2022 Mar;122:104156. doi: 10.1016/j.ridd.2021.104156. Epub 2022 Jan 7.

Abstract

OBJECTIVE

Our understanding of the role of parental involvement in academic outcomes for children with ADHD is limited, with mixed evidence suggesting a positive association between parental involvement and academic achievement for pediatric ADHD but limited evidence regarding how this varies based on ADHD symptom severity, ADHD symptom domains, or co-occurring ODD symptoms. In this context, the present study aimed to examine the effects of parental involvement, ADHD symptoms, and comorbid ODD on children's overall, reading, and math achievement.

METHOD

A well-characterized clinically-evaluated sample of 162 children recruited through a university-based children's learning/behavioral health clinic and community resources (ages 8-13; 50 girls; 69% Caucasian/Non-Hispanic) were administered standardized academic achievement tests, with parents and teachers completing measures of parental involvement and ADHD symptoms, respectively.

RESULTS

Inattention, but not hyperactivity-impulsivity, was associated with lower academic achievement in all tested models (β= -.16 to -.22, all p < .03). Surprisingly, parental involvement had significant negative associations with math and overall academic achievement (β= -.13 to -.26, both p< .05) and did not moderate the relations between ADHD symptoms and academic achievement in any tested model. Comorbid ODD symptoms did not significantly predict academic achievement or interact with parental involvement in any tested model. These findings were robust to control for child IQ, age, sex, SES, anxiety, and depression.

CONCLUSION

Parental involvement may not serve as a protective factor against academic underachievement for children with clinically elevated ADHD symptoms, and may predict lower rather than higher academic achievement for clinically evaluated children in general.

摘要

目的

我们对父母参与对患有注意力缺陷多动障碍(ADHD)儿童学业成绩的作用的理解有限,混合证据表明父母参与与儿科 ADHD 患儿的学业成绩呈正相关,但关于 ADHD 症状严重程度、ADHD 症状领域或共患对立违抗性障碍(ODD)症状如何影响这一关系的证据有限。在这种情况下,本研究旨在检查父母参与度、ADHD 症状和共患 ODD 对儿童总体、阅读和数学成绩的影响。

方法

通过大学儿童学习/行为健康诊所和社区资源招募了一个特征良好的临床评估样本,包括 162 名儿童(年龄 8-13 岁;50 名女孩;69%为白种人/非西班牙裔),他们接受了标准化的学业成就测试,父母和教师分别完成了父母参与度和 ADHD 症状的测量。

结果

在所有测试模型中,注意力不集中,而不是多动冲动,与较低的学业成绩相关(β=-.16 至-.22,均 p<.03)。令人惊讶的是,父母参与与数学和总体学业成绩呈显著负相关(β=-.13 至-.26,均 p<.05),并且在任何测试模型中都不能调节 ADHD 症状与学业成绩之间的关系。共患 ODD 症状对学业成绩没有显著预测作用,也没有在任何测试模型中与父母参与度相互作用。这些发现对控制儿童智商、年龄、性别、社会经济地位、焦虑和抑郁等因素具有稳健性。

结论

对于临床 ADHD 症状升高的儿童,父母参与可能不是学业成绩不佳的保护因素,对于一般临床评估的儿童,父母参与可能预示着较低而不是较高的学业成绩。

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